Organization
METROPOLITAN DENTAL & ANESTHESIOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES JACKSON DMD (DENTIST)
(718) 446-7100
Entity
Organization
Contact information
Practice address
3540 82ND ST STE 1G, JACKSON HEIGHTS, NY 11372-5159
(718) 446-7100
Mailing address
3540 82ND ST STE 1G, JACKSON HEIGHTS, NY 11372-5159
(718) 446-7100
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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