Linda A Jackson, DDS Valid NPI
Individual provider · Dentist · Willmar, MN
- NPI
- 1992757728
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- FF46 (MN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-05-17
- Last updated
- 2014-03-09
Practice location
301 Becker Ave Sw, Rice Regional Dental Clinic
Willmar, MN 56201-3302
(320) 214-2620