Organization
JARED M. THOMPSON, DMD, LLC
Active
Other names
Pacific Oak Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED MICHAEL THOMPSON DMD (MANAGING MEMBER)
(503) 357-9122
Entity
Organization
Contact information
Practice address
2031 HAWTHORNE ST STE A, FOREST GROVE, OR 97116-1700
(503) 357-9122
Mailing address
2031 HAWTHORNE ST STE A, FOREST GROVE, OR 97116-1700
(503) 357-9122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8734
OR
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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