Individual
MARTHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11125 ROCKVILLE PIKE STE 205, ROCKVILLE, MD 20852-3142
(301) 273-1085
Mailing address
11125 ROCKVILLE PIKE STE 205, ROCKVILLE, MD 20852-3142
(301) 273-1085
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7931
MD
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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