DR. LUE DEE JACKSON JR., DMD, MD
Dentist
Active
Individual
NPI: 1568623841
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 15374 (MA) |
Frequently Asked Questions
NPI 1568623841 is the National Provider Identifier for DR. LUE DEE JACKSON JR., DMD, MD, a Dentist provider located in Roxbury, MA. This NPI was enumerated on June 19, 2008.
DR. LUE DEE JACKSON JR., DMD, MD practices at 386 A-B WARREN STREET, Roxbury, MA 02119.
Quick Facts
- NPI
- 1568623841
- Type
- Individual
- Enumerated
- Jun 19, 2008
- Last Updated
- Jun 19, 2008
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