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Organization
DR. JACOB ATKINSON DMD PC
Active
Organization
DR. JACOB ATKINSON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB ATKINSON DMD (PRESIDENT)
(541) 473-9166
Entity
Organization
Contact information
Practice address
130 COURT ST S, VALE, OR 97918-1326
(541) 473-9166
Mailing address
130 COURT ST S, VALE, OR 97918-1326
(541) 473-9166
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D9126
OR
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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