Montina Golphin Jackson DMD

NPI 1497875504 - Dentist - 1223G0001X

NPI Details
NPI 1497875504
Gender Female
Enumeration Date 03/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2197 MARTIN LUTHER KING JR DR SW
ATLANTA GA, 30310-1143, US
Phone (404) 699-1919
Fax (404) 699-1402
Business Location
2197 MARTIN LUTHER KING JR DR SW
ATLANTA GA, 30310-1143, US
Phone (404) 699-1919
Fax (404) 699-1402
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number DNO10785
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According to our database, Dr. Montina Golphin Jackson DMD NPI is 1497875504, taxonomy code is 1223G0001X and license number is DNO10785, license state is located at Georgia. Montina Golphin Jackson DMD physically located at 2197 Martin Luther King Jr Dr Sw, Atlanta GA, 30310-1143. NPI Number Montina Golphin Jackson DMD has the Individual type.

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1497875504 NPI number is provided on an as is basis without warranty of any kind. 1497875504 is maintained by the National Plan & Provider Enumeration System. The contents of Montina Golphin Jackson DMD are for informational purposes only.