Individual
TOMICKA JACKSON-GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22329 GREENVIEW PKWY, GREAT MILLS, MD 20634-3491
(301) 870-4553
Mailing address
5 S POTOMAC ST, BALTIMORE, MD 21224-2250
(301) 870-4553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13287
MD
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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