Individual
ANDREA DENISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
6912 WADE AVE, CLINTON, MD 20735-2743
(301) 868-3317
Mailing address
6912 WADE AVE, CLINTON, MD 20735-2743
(301) 868-3317
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
08111
MD
1223P0700X
Prosthodontics
Primary
DN4077
DC
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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