Individual
DR. MARYANN JACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
217 DICKSON ST, WELLINGTON, OH 44090-1364
(440) 647-2752
(440) 647-1241
Mailing address
217 DICKSON ST, WELLINGTON, OH 44090-1364
(440) 647-2752
(440) 647-1241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21302
OH
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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