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Ralph L. Jackson, Dds, Pc
Dental Clinic/Center in Cornelia, Georgia
NPI 1518108190

Ralph L. Jackson, Dds, Pc is a Dental Clinic/Center based in Cornelia, GA and is specialized in Dental. Ralph L. Jackson, Dds, Pc practices in Cornelia, GA. The NPI Number for Ralph L. Jackson, Dds, Pc is 1518108190 and holds a License No. DN009940 (Georgia).

The current practice location address for Ralph L. Jackson, Dds, Pc is 105 Highland Ave, Cornelia, GA and can be reached out via phone at 706-778-8645 and via fax at 706-776-2650.

Location: 105 Highland Ave, Cornelia, GA, 30531-4366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518108190
Provider Name
Ralph L. Jackson, Dds, Pc
Credential
Provider Entity Type
Organization
Address
105 Highland Ave, Cornelia, GA, 30531-4366
Phone Number
706-778-8645
Fax Number
706-776-2650
Provider Enumeration Date
03/12/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
105 Highland Ave
City
Cornelia
State
Georgia
Zip
30531-4366
Phone Number
706-778-8645
Fax Number
706-776-2650
person
Provider Business Mailing Address Details
Address
105 Highland Ave
City
Cornelia
State
Georgia
Zip
30531-4366
Phone Number
706-778-8645
Fax Number
706-776-2650
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN009940 (Georgia)
Definition
Definition to come...
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