Individual
DR. KRYSTEN KATHLEEN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1201 N STONEWALL AVE, OKLAHOMA CITY, OK 73117-1214
(405) 271-6486
Mailing address
1105 BEDFORD DR, NICHOLS HILLS, OK 73116-6401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7160
OK
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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