Individual
DR. CECILY LYNN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3233 63RD ST, SUITE A, LUBBOCK, TX 79413-5742
(806) 368-8856
(806) 368-7859
Mailing address
3233 63RD ST, SUITE A, LUBBOCK, TX 79413-5742
(806) 368-8856
(806) 368-7859
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24654
TX
Other
Enumeration date
06/03/2009
Last updated
12/04/2012
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