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DR. WALTER CHARLES JACKSON DDS, MD

Oral and Maxillofacial Surgery

Metairie, Louisiana

Provider NPI: 1255507588

Provider Information:
DR. WALTER CHARLES JACKSON DDS, MD
Gender: M
Sole Proprietor


Practice Location:
4051 VETERANS MEMORIAL BLVD SUITE 200 METAIRIE, LA 70002 US
Tel: 504-455-7161  Fax: 504-455-7162

Business Mailing Address:
4051 VETERANS MEMORIAL BLVD STE 200  METAIRIE, LA 70002 US
Tel: 504-455-7161  Fax: 504-455-7162

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
LA5927





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