John Bajusack Dmd, PC

NPI #1306538657 in Portland, Oregon

Provider Information

NPI Number: 1306538657
Entity Type: Organization
Organization Name: John Bajusack Dmd, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 24, 2023
Last Updated: May 24, 2023

Practice Location

Address: 511 SW 10TH AVE STE 704
City: Portland
State: Oregon
ZIP Code: 97205-2708
Phone: (503) 227-2883

Authorized Official

Name: JENNY GARCIA-ROCHA
Title: CREDENTIALING LEAD
Phone: (972) 869-3789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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