Organization
JULIA L. JACKSON DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA L JACKSON DMD (CEO)
(215) 906-5052
Entity
Organization
Contact information
Practice address
900 E WADSWORTH AVE, PHILADELPHIA, PA 19150-3417
(215) 247-6962
Mailing address
900 E WADSWORTH AVE, PHILALDEPHIA, PA 19150
(215) 247-6962
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038263
PA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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