Individual
DR. STEVEN CRAIG JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7740 DONEGAN DR, MANASSAS, VA 20109-2868
(703) 369-6282
(703) 361-5822
Mailing address
7740 DONEGAN DR, MANASSAS, VA 20109-2868
(703) 369-6282
(703) 361-5822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006452
VA
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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