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Organization
JACOB K. BUSHNELL, DDS LLC
Active
Organization
JACOB K. BUSHNELL, DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB K BUSHNELL DDS (DENTIST)
(503) 538-7358
Entity
Organization
Contact information
Practice address
200 N EDWARDS ST, NEWBERG, OR 97132-2709
(503) 538-7358
Mailing address
516 S COLLEGE ST, NEWBERG, OR 97132-3312
(503) 338-9823
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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