Jacob R Kaufman, DMD

NPI #1134732100 in Portland, Oregon

Provider Information

NPI Number
1134732100
Entity Type
Individual
Name
Jacob R Kaufman, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Aug 28, 2020
Last Updated
Aug 28, 2020

Practice Location

Address
12596 SE STARK ST BLDG N
State
Oregon
ZIP Code
97233-1056
Phone
(503) 252-9657

Specialties & Taxonomy Codes

Specialty
Dentist

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