Jab Dental LLC
NPI #1164384442 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1164384442
- Entity Type
- Organization
- Organization Name
- Jab Dental LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Nov 25, 2025
- Last Updated
- Nov 25, 2025
Practice Location
- Address
- 30045 SW PARKWAY AVE
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9735
- Phone
- (503) 682-2455
Authorized Official
- Name
- DR. JASON BAJUSCAK, DMD
- Title
- OWNER DENTIST
- Phone
- (541) 852-5812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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