Organization
DR BRANDON JACKSON PEDIATRIC DENTAL PLLC
Active
Other names
Quality Care, Pediatric Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON JOSHUA JACKSON DDS (OWNER)
(917) 626-3507
Entity
Organization
Contact information
Practice address
821 CLOVE RD, STATEN ISLAND, NY 10310-2839
(718) 448-0976
Mailing address
70 VIRGINIA AVE, STATEN ISLAND, NY 10305-1748
(917) 626-3507
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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