JEFFREY JACKY, DENTURIST LD
Denturist
Active
Individual
NPI: 1356791677
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Denturist | 122400000X | Yes | DTDO709602 (OR) |
Frequently Asked Questions
NPI 1356791677 is the National Provider Identifier for JEFFREY JACKY, DENTURIST LD, a Denturist provider located in Beaverton, OR. This NPI was enumerated on June 17, 2016.
JEFFREY JACKY, DENTURIST LD practices at 4925 SW GRIFFITH DR, Beaverton, OR 97005.
Quick Facts
- NPI
- 1356791677
- Type
- Individual
- Enumerated
- Jun 17, 2016
- Last Updated
- Jun 26, 2023
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