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1326537143
JACOB J FOUTZ DMD, LLC
MEDFORD, OR
NPI
1326537143
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Entity Type
Organization
Authorized Contact
JACOB FOUTZ
Dentist
541-734-5225
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: OR D10292)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
JACOB J FOUTZ DMD, LLC
806 E JACKSON ST
MEDFORD, OR 97504-6773
Phone number: 541-734-5225
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Mailing Address
JACOB J FOUTZ DMD, LLC
806 E JACKSON ST
MEDFORD, OR 97504-6773
Phone number: 541-734-5225
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