Jared M. Thompson, Dmd, LLC
NPI #1396014338 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1396014338
- Entity Type
- Organization
- Organization Name
- Jared M. Thompson, Dmd, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 20, 2011
- Last Updated
- Dec 20, 2011
Practice Location
- Address
- 2031 HAWTHORNE ST STE A
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1700
- Phone
- (503) 357-9122
Authorized Official
- Name
- DR. JARED MICHAEL THOMPSON, DMD
- Title
- MANAGING MEMBER
- Phone
- (503) 357-9122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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