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Dr. Yazan Jaber, DDS
Pediatric Dentist in Longview, Washington
NPI 1679953111

Yazan Jaber is a Pediatric Dentist based in Longview, WA and is specialized in Pediatric Dentistry. Yazan Jaber practices in Longview, WA and has the professional credentials of DDS. The NPI Number for Yazan Jaber is 1679953111 and holds a License No. (Washington).

The current practice location address for Yazan Jaber is 1717 Olympia Way, Longview, WA and can be reached out via phone at 360-636-1900.

Location: 1717 Olympia Way, Longview, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679953111
Provider Name
Yazan Jaber
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1717 Olympia Way, Longview, WA, 98632
Phone Number
360-636-1900
Fax Number
Provider Enumeration Date
05/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 Olympia Way
City
Longview
State
Washington
Zip
98632
Phone Number
360-636-1900
Fax Number
person
Provider Business Mailing Address Details
Address
1717 Olympia Way
City
Longview
State
Washington
Zip
98632
Phone Number
360-636-1900
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE60724094 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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