Individual
DR. JACKSON STEVEN REDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
440 S BUCKMOORE RD, LAKE WALES, FL 33853-2700
(863) 676-6507
Mailing address
440 S BUCKMOORE RD, LAKE WALES, FL 33853-2700
(863) 676-6507
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25003
FL
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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