Jacob D Groom Dmd Pllc
NPI #1699560300 in Camas, Washington
Provider Information
- NPI Number
- 1699560300
- Entity Type
- Organization
- Organization Name
- Jacob D Groom Dmd Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 12, 2025
- Last Updated
- Apr 12, 2025
Practice Location
- Address
- 4530 NW WALDEN ST
- City
- Camas
- State
- Washington
- ZIP Code
- 98607-9130
- Phone
- (503) 702-6532
Authorized Official
- Name
- JACOB GROOM
- Title
- MEMBER
- Phone
- (503) 702-6532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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