Organization
JAB DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BAJUSCAK DMD (OWNER DENTIST)
(541) 852-5812
Entity
Organization
Contact information
Practice address
30045 SW PARKWAY AVE, WILSONVILLE, OR 97070-9735
(503) 682-2455
(503) 570-8522
Mailing address
30045 SW PARKWAY AVE, WILSONVILLE, OR 97070-9735
(503) 682-2455
(503) 570-8522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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