institution
Jamal Kussad Llc
Dental Clinic/Center in Vancouver, Washington
NPI 1467818500

Jamal Kussad Llc is a Dental Clinic/Center based in Vancouver, WA and is specialized in Dental. Jamal Kussad Llc practices in Vancouver, WA. The NPI Number for Jamal Kussad Llc is 1467818500 and holds a License No. DE60457891 (Washington).

The current practice location address for Jamal Kussad Llc is 1901 Ne 162Nd Ave, Vancouver, WA and can be reached out via phone at 360-726-6107 and via fax at 360-726-6105.

Location: 1901 Ne 162Nd Ave, Vancouver, WA, 98684-3009
institution
Provider Profile Details
NPI Number
1467818500
Provider Name
Jamal Kussad Llc
Credential
Provider Entity Type
Organization
Address
1901 Ne 162Nd Ave, Vancouver, WA, 98684-3009
Phone Number
360-726-6107
Fax Number
360-726-6105
Provider Enumeration Date
01/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1901 Ne 162Nd Ave
City
State
Zip
98684-3009
Phone Number
360-726-6107
Fax Number
360-726-6105
person
Provider Business Mailing Address Details
Address
1901 Ne 162Nd Ave
City
State
Zip
98684-3009
Phone Number
360-726-6107
Fax Number
360-726-6105
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DE60457891 (Washington)
Definition
Definition to come...
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