Julia Lamarre Jackson D.M.D

NPI 1649455882 - Dentist - 1223S0112X

NPI Details
NPI 1649455882
Gender Female
Enumeration Date 01/07/2008
Last Updated 02/27/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
4510 FRANKFORD AVE
PHILADELPHIA PA, 19124-3602, US
Phone (215) 535-1990
Fax (215) 535-1935
Business Location
432 N 6TH ST
PHILADELPHIA PA, 19123-4004, US
Phone (215) 925-2400
Fax (215) 925-9162
Toxanomy
Taxonomy Code 1223S0112X
License State Pennsylvania
License Number DS038263
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According to our database, Dr. Julia Lamarre Jackson D.M.D NPI is 1649455882, taxonomy code is 1223S0112X and license number is DS038263, license state is located at Pennsylvania. Julia Lamarre Jackson D.M.D physically located at 4510 Frankford Ave, Philadelphia PA, 19124-3602. NPI Number Julia Lamarre Jackson D.M.D has the Individual type.

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1649455882 NPI number is provided on an as is basis without warranty of any kind. 1649455882 is maintained by the National Plan & Provider Enumeration System. The contents of Julia Lamarre Jackson D.M.D are for informational purposes only.