| Eid, Jaber, Jassar, Pllc | |
|
1461 Nw Louisiana Ave Chehalis WA 98532-1749 | |
| (360) 636-1900 | |
| Not Available |
| Full Name | Eid, Jaber, Jassar, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1461 Nw Louisiana Ave, Chehalis, 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 1461 Nw Louisiana Ave Chehalis WA 98532-1749 Ph: (360) 636-1900 |
| NPI Number | 1013549831 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 02/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013549831 | NPI | - | NPPES |
| 5045687 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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