Individual
DR. JACKSON SIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8210 FLOYD CURL DR, SAN ANTONIO, TX 78229-3923
(210) 450-3715
Mailing address
127 NORMANDY AVE, SAN ANTONIO, TX 78209-4536
(252) 670-5994
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13274
NC
Other
Enumeration date
06/28/2023
Last updated
12/05/2023
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