Jackson, Lynnette
Jackson, Lynnette is an individual health care provider with primary practice located at 12012 S Wilmington Avenue , Los Angeles CA 90059. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Jackson, Lynnette can be contacted via phone (310) 668-4515.Contact Information
Primary practice address
12012 S Wilmington Avenue
Los Angeles CA 90059
Phone: (310) 668-4515
Fax: (310) 763-8909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 29305 | California |
Profile Details
| NPI number | 1447392311 |
|---|---|
| LBN Legal business name | Jackson, Lynnette |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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