Individual
MS. LEE M. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3551 CHAMBERS RD, SUITE A-D, AURORA, CO 80011-1330
(303) 375-0649
Mailing address
19842 E 39TH AVE, DENVER, CO 80249-7351
(720) 374-0444
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
904413
CO
Other
Enumeration date
03/03/2011
Last updated
03/07/2011
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