| Donald C. Bassham D.d.s. P.s. | |
|
614 E Alder St Suite # 6 Walla Walla WA 99362-2073 | |
| (509) 526-7012 | |
| (509) 526-7013 |
| Full Name | Donald C. Bassham D.d.s. P.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 614 E Alder St, Walla Walla, Washington |
| Authorized Official Name and Position | Donald Charles Bassham (DIRECTOR) |
| Authorized Official Contact | 5095267012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald C. Bassham D.d.s. P.s. 614 E Alder St Suite # 6 Walla Walla WA 99362-2073 Ph: (509) 526-7012 | Donald C. Bassham D.d.s. P.s. 614 E Alder St Suite # 6 Walla Walla WA 99362-2073 Ph: (509) 526-7012 |
| NPI Number | 1922258961 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922258961 | NPI | - | NPPES |
| 5027610 | Medicaid | WA | |
| 5057898 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008030 (Washington) | Primary |
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