| Dr. J. Alexander Kussad, Dds | |
|
1901 Ne 162nd Ave Suite D-112 Vancouver WA 98684-3009 | |
| (360) 726-6107 | |
| (360) 726-6105 |
| Full Name | Dr. J. Alexander Kussad, Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1901 Ne 162nd Ave, Vancouver, Washington |
| Authorized Official Name and Position | Jamal Alexander Kussad (PRESIDENT) |
| Authorized Official Contact | 3607266107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. J. Alexander Kussad, Dds 1901 Ne 162nd Ave Suite D-112 Vancouver WA 98684-3009 Ph: (360) 726-6107 | Dr. J. Alexander Kussad, Dds 1901 Ne 162nd Ave Suite D-112 Vancouver WA 98684-3009 Ph: (360) 726-6107 |
| NPI Number | 1467818500 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467818500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60457891 (Washington) | Primary |
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