Individual
DR. JACOB KEFGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1019 112TH ST SW, EVERETT, WA 98204-4875
(425) 551-6001
Mailing address
1019 112TH ST SW, EVERETT, WA 98204-4875
(425) 551-6001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60480884
WA
Other
Enumeration date
08/21/2014
Last updated
01/05/2021
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