Jason Atack, DMD

NPI #1235382557 in Beaverton, Oregon

Provider Information

NPI Number
1235382557
Entity Type
Individual
Name
Jason Atack, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Oct 30, 2008
Last Updated
Jan 31, 2018

Practice Location

Address
14125 SW FARMINGTON RD
State
Oregon
ZIP Code
97005-2567
Phone
(503) 646-4432

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist

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