JACOB FOUTZ

MEDFORD, OR
NPI1912381856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D10292)
Enumeration Date2015-07-09
Last Update Date2018-03-17
Business Address
JACOB FOUTZ DMD
806 E JACKSON ST
MEDFORD, OR 97504-6773
Phone number: 541-734-5225
Mailing Address
JACOB FOUTZ DMD
826 E MAIN ST
MEDFORD, OR 97504-7134
Phone number: 541-858-0740
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