Organization
JACOB R. FARMER, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB ROBERT FARMER DDS (DENTIST)
(360) 514-9212
Entity
Organization
Contact information
Practice address
4305 NE THURSTON WAY, VANCOUVER, WA 98662-6655
(360) 514-9212
Mailing address
4305 NE THURSTON WAY, VANCOUVER, WA 98662-6655
(360) 514-9212
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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