Individual
JESSICA ROSE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
911 COUNTRY CLUB RD, SUITE 222, EUGENE, OR 97401-6044
(541) 342-2477
Mailing address
911 COUNTRY CLUB RD, SUITE 222, EUGENE, OR 97401-6044
(541) 342-2477
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7772
OR
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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