Individual
DR. WILLIAM KENNETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11411 N CENTRAL EXPY STE K, DALLAS, TX 75243-6606
(214) 739-5824
(214) 739-5073
Mailing address
11411 N CENTRAL EXPY STE K, DALLAS, TX 75243-6606
(214) 739-5824
(214) 739-5073
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9441
TX
Other
Enumeration date
01/09/2007
Last updated
07/28/2007
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