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Search › Washington › 103TC0700X

Jan Bacon, PHD

NPI 1457335820 · on the registry since 2005 · sole proprietor

Practice

Address
9125 Bridgeport Way Sw Ste 102
Lakewood, WA 98499
Phone
(253) 254-8284
Fax
(253) 276-0082
Organisation at this address
Drew Dentistry
Jun Carrington Dmd Pllc
Mulhern Counseling, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington