Jacob Lorenza Atkinson, DMD

NPI #1164670501 in Ontario, Oregon

Provider Information

NPI Number: 1164670501
Entity Type: Individual
Name: Jacob Lorenza Atkinson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Aug 27, 2008
Last Updated: Aug 27, 2008

Practice Location

Address: 475 SW 12TH ST
City: Ontario
State: Oregon
ZIP Code: 97914-3201
Phone: (541) 881-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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