Organization
EID, JABER, JASSAR, PLLC
Active
Parent organization
EID, JABER, JASSAR, PLLC
Other names
Happy Kids Dentistry Chehalis
Organization subpart
Yes
Provider details
NPI number
Legal business name
EID, JABER, JASSAR, PLLC
Authorized official
HAZAR JABER (CEO)
(360) 636-1900
Entity
Organization
Contact information
Practice address
1461 NW LOUISIANA AVE, CHEHALIS, WA 98532-1749
(360) 636-1900
Mailing address
1717 OLYMPIA WAY, LONGVIEW, WA 98632-3929
(360) 636-1900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5045687
—
WA
Enumeration date
02/10/2020
Last updated
02/10/2020
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