person
Jeffrey Jacky, DENTURISTLD
Denturist in Beaverton, Oregon
NPI 1356791677

Jeffrey Jacky is a Denturist based in Hillsboro, OR. Jeffrey Jacky practices in Beaverton, OR and has the professional credentials of DENTURISTLD. The NPI Number for Jeffrey Jacky is 1356791677 and holds a License No. DTDO709602 (Oregon).

The current practice location address for Jeffrey Jacky is 4925 Sw Griffith Dr, Beaverton, OR and can be reached out via phone at 855-433-6825.

Location: 4925 Sw Griffith Dr, Beaverton, OR, 97124-5611
person
Provider Profile Details
NPI Number
1356791677
Provider Name
Jeffrey Jacky
Credential
DENTURISTLD
Provider Entity Type
Individual
Gender
Male
Address
4925 Sw Griffith Dr, Beaverton, OR, 97124-5611
Phone Number
855-433-6825
Fax Number
Provider Enumeration Date
06/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4925 Sw Griffith Dr
City
State
Zip
97005-2923
Phone Number
855-433-6825
Fax Number
person
Provider Business Mailing Address Details
Address
4925 Sw Griffith Dr
City
State
Zip
97005-2923
Phone Number
855-433-6825
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DTDO709602 (Oregon)
Definition
Definition to come.
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