Jacob J Foutz Dmd, LLC

NPI #1326537143 in Medford, Oregon

Provider Information

NPI Number: 1326537143
Entity Type: Organization
Organization Name: Jacob J Foutz Dmd, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 7, 2018
Last Updated: May 7, 2018

Practice Location

Address: 806 E JACKSON ST
City: Medford
State: Oregon
ZIP Code: 97504-6773
Phone: (541) 734-5225

Authorized Official

Name: JACOB FOUTZ, DMD
Title: DENTIST
Phone: (541) 734-5225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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