Jeffrey Jacky, DENTURIST LD

NPI #1356791677 in Beaverton, Oregon

Provider Information

NPI Number: 1356791677
Entity Type: Individual
Name: Jeffrey Jacky, DENTURIST LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Credential: DENTURIST LD
Enumeration Date: Jun 17, 2016
Last Updated: Jun 26, 2023

Practice Location

Address: 4925 SW GRIFFITH DR
City: Beaverton
State: Oregon
ZIP Code: 97005-2923
Phone: (855) 433-6825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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