Eid, Jaber, Jassar, Pllc | |
4018 A St Se Auburn WA 98002-3858 | |
(360) 636-1900 | |
Not Available |
Full Name | Eid, Jaber, Jassar, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 4018 A St Se, Auburn, Washington |
Authorized Official Name and Position | Hazar Jaber (CEO) |
Authorized Official Contact | 3606361900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eid, Jaber, Jassar, Pllc 1717 Olympia Way Longview WA 98632-3929 Ph: (360) 636-1900 | Eid, Jaber, Jassar, Pllc 4018 A St Se Auburn WA 98002-3858 Ph: (360) 636-1900 |
NPI Number | 1376175190 |
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Provider Enumeration Date | 02/10/2020 |
Last Update Date | 02/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376175190 | NPI | - | NPPES |
5045687 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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