MRS. WANDA JACKSON, RDH

Dental Hygienist

Active Individual
NPI: 1043323504

Practice Address

510 E STONER AVE
#160
Shreveport, LA 71101

Phone: (318) 221-8411

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X Yes 376 (LA)

Frequently Asked Questions

NPI 1043323504 is the National Provider Identifier for MRS. WANDA JACKSON, RDH, a Dental Hygienist provider located in Shreveport, LA. This NPI was enumerated on August 17, 2006.
MRS. WANDA JACKSON, RDH practices at 510 E STONER AVE, #160, Shreveport, LA 71101.

Quick Facts

NPI
1043323504
Type
Individual
Enumerated
Aug 17, 2006
Last Updated
Jul 8, 2007

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