Organization
CYNTHIA L JACKSON DDS MS INC
Active
Other names
Alpine Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA LEE JACKSON DDS MS (OWNER)
(619) 445-8883
Entity
Organization
Contact information
Practice address
1620 ALPINE BLVD, STE 212, ALPINE, CA 91901-1105
(619) 445-8883
(619) 445-8890
Mailing address
1620 ALPINE BLVD, STE 212, ALPINE, CA 91901-1105
(619) 445-8883
(619) 445-8890
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
37034
CA
Other
Enumeration date
08/29/2006
Last updated
08/22/2020
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