| Brent Hassel, Dds, Ps | |
|
2702 S 42nd St Ste 106 Tacoma WA 98409-7315 | |
| (253) 472-7788 | |
| (253) 474-9253 |
| Full Name | Brent Hassel, Dds, Ps |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2702 S 42nd St Ste 106, Tacoma, Washington |
| Authorized Official Name and Position | Brent Hassel (OWNER) |
| Authorized Official Contact | 2534727788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Hassel, Dds, Ps 2702 S 42nd St Ste 106 Tacoma WA 98409-7315 Ph: (253) 472-7788 | Brent Hassel, Dds, Ps 2702 S 42nd St Ste 106 Tacoma WA 98409-7315 Ph: (253) 472-7788 |
| NPI Number | 1023252947 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 04/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023252947 | NPI | - | NPPES |
| 5031844 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00007215 (Washington) | Primary |
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