JACOB GROOM

VANCOUVER, WA
NPI1902476682
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WA  DE61203036)
Enumeration Date2021-06-25
Last Update Date2025-04-11
Business Address
JACOB GROOM DMD
7012 NE 40TH ST
VANCOUVER, WA 98661-3052
Phone number: 360-254-5254
Mailing Address
JACOB GROOM DMD
4530 NW WALDEN ST
CAMAS, WA 98607-9130
Phone number: 503-702-6532
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