| Cynthia L Jackson Dds Ms Inc | |
|
1620 Alpine Blvd Ste 212 Alpine CA 91901-1105 | |
| (619) 445-8883 | |
| (619) 445-8890 |
| Full Name | Cynthia L Jackson Dds Ms Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1620 Alpine Blvd, Alpine, California |
| Authorized Official Name and Position | Cynthia Lee Jackson (OWNER) |
| Authorized Official Contact | 6194458883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia L Jackson Dds Ms Inc 1620 Alpine Blvd Ste 212 Alpine CA 91901-1105 Ph: (619) 445-8883 | Cynthia L Jackson Dds Ms Inc 1620 Alpine Blvd Ste 212 Alpine CA 91901-1105 Ph: (619) 445-8883 |
| NPI Number | 1962511659 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962511659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 37034 (California) | Primary |
Rodolfo Orozco Dds, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2065 Arnold Way Ste 105, Alpine, CA 91901 Phone: 619-659-9580 Fax: 619-659-9535 | |
S J Shahangian Dds Ms Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd Ste 212, Alpine, CA 91901 Phone: 619-445-8881 | |
Alpine Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd., Su. #121, Alpine, CA 91901 Phone: 619-445-8896 Fax: 619-445-7339 | |
Jonar R Bonifacio, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd Ste 121, Alpine, CA 91901 Phone: 619-445-8896 Fax: 619-445-7339 |