| Jacob D Groom Dmd Pllc | |
|
4530 Nw Walden St Camas WA 98607-9130 | |
| (503) 702-6532 | |
| Not Available |
| Full Name | Jacob D Groom Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4530 Nw Walden St, Camas, Washington |
| Authorized Official Name and Position | Jacob Groom (MEMBER) |
| Authorized Official Contact | 5037026532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob D Groom Dmd Pllc 4530 Nw Walden St Camas WA 98607-9130 Ph: () - | Jacob D Groom Dmd Pllc 4530 Nw Walden St Camas WA 98607-9130 Ph: (503) 702-6532 |
| NPI Number | 1699560300 |
|---|---|
| Provider Enumeration Date | 04/12/2025 |
| Last Update Date | 04/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699560300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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