Organization
A M JACKSON & ASSOCIATES DDS MS PLLC
Active
Other names
University Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KATI RANDISI (BUSINESS MANAGER)
(704) 549-1926
Entity
Organization
Contact information
Practice address
8430 UNIVERSITY EXEC PARK DR STE 605, CHARLOTTE, NC 28262-1353
(704) 549-1926
Mailing address
8430 UNIVERSITY EXEC PARK DR STE 605, CHARLOTTE, NC 28262-1353
(704) 549-1926
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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