John Bajusack Dmd, Pc | |
511 Sw 10th Ave Ste 704 Portland OR 97205-2708 | |
(503) 227-2883 | |
Not Available |
Full Name | John Bajusack Dmd, Pc |
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Speciality | Dentist - General Practice |
Location | 511 Sw 10th Ave Ste 704, Portland, Oregon |
Authorized Official Name and Position | Jenny Garcia-rocha (CREDENTIALING LEAD) |
Authorized Official Contact | 9728693789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John Bajusack Dmd, Pc 511 Sw 10th Ave Ste 704 Portland OR 97205-2708 Ph: (503) 227-2883 | John Bajusack Dmd, Pc 511 Sw 10th Ave Ste 704 Portland OR 97205-2708 Ph: (503) 227-2883 |
NPI Number | 1306538657 |
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Provider Enumeration Date | 05/24/2023 |
Last Update Date | 05/24/2023 |
Identifier | Type | State | Issuer |
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1306538657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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