Individual
DR. CRISTIN DENISE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
815 S PINE ST, VIVIAN, LA 71082-3314
(318) 375-3235
Mailing address
815 S PINE ST, VIVIAN, LA 71082-3353
(318) 375-3235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7275
LA
Other
Enumeration date
11/03/2021
Last updated
05/07/2026
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