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-- JACOB LORENZA ATKINSON -- DMD

Individual Provider (NPI-1) Active

Dentist

Provider Information

NPI Number
1164670501
Provider Type
Individual Provider (NPI-1)
Credentials
DMD
Status
Active

Contact & Location

Address
475 SW 12TH ST, ONTARIO, OR, 979143201
Phone
(541) 881-8700

Specialties & Taxonomies

Dentist Primary License: OR #d9126

All Addresses

MAILING

475 SW 12TH ST

ONTARIO, OR, 979143201

(541) 881-8700

LOCATION

475 SW 12TH ST

ONTARIO, OR, 979143201

(541) 881-8700