Individual
DR. JAIH C JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PA
Contact information
Practice address
8358 MARKET ST, BRADENTON, FL 34202-5137
(941) 907-9790
(941) 907-3449
Mailing address
8358 MARKET ST, BRADENTON, FL 34202-5137
(941) 907-9790
(941) 907-3449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15032
FL
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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