Jack Benjamin Dunham, DMD Valid NPI
Individual provider · Dentist · Eugene, OR
- NPI
- 1669709812
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D4322 (OR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-11-09
- Last updated
- 2023-03-07
Practice location
4000 E 30th Ave
Eugene, OR 97405-0640
(541) 463-3000