Individual
DR. JULIA LAMARRE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
4510 FRANKFORD AVE, PHILADELPHIA, PA 19124-3602
(215) 535-1990
(215) 535-1935
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS038263
PA
Other
Enumeration date
01/07/2008
Last updated
02/27/2013
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