Individual
JENCEN ROBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 SE CABOT DR STE 1, OAK HARBOR, WA 98277-3700
(360) 675-2942
Mailing address
230 SE CABOT DR STE 1, OAK HARBOR, WA 98277-3700
(360) 675-2942
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61464666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61464666
DENTAL LICENSE
WA
Enumeration date
08/25/2023
Last updated
08/25/2023
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