Jacob Kenneth Bushnell, DDS

NPI #1811401441 in Astoria, Oregon

Provider Information

NPI Number
1811401441
Entity Type
Individual
Name
Jacob Kenneth Bushnell, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 17, 2017
Last Updated
Nov 17, 2017

Practice Location

Address
1414 MARINE DR
State
Oregon
ZIP Code
97103-3808
Phone
(503) 325-0310

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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