| Julia L. Jackson Dmd Llc | |
|
900 E Wadsworth Ave Philadelphia PA 19150-3417 | |
| (215) 247-6962 | |
| Not Available |
| Full Name | Julia L. Jackson Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 900 E Wadsworth Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Julia L Jackson (CEO) |
| Authorized Official Contact | 2159065052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia L. Jackson Dmd Llc 900 E Wadsworth Ave Philaldephia PA 19150 Ph: (215) 247-6962 | Julia L. Jackson Dmd Llc 900 E Wadsworth Ave Philadelphia PA 19150-3417 Ph: (215) 247-6962 |
| NPI Number | 1750656203 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 03/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750656203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS038263 (Pennsylvania) | Primary |
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