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Organization

PACIFIC NORTHWEST ORTHODONTICS

Active
Other names
Brent Hassel, DDS, PS
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT HASSEL DDS, PS (OWNER)
(253) 472-7788
Entity
Organization

Contact information

Practice address
2702 S 42ND ST STE 106, TACOMA, WA 98409-7315
(253) 472-7788
(253) 474-9253
Mailing address
2702 S 42ND ST STE 106, TACOMA, WA 98409-7315
(253) 472-7788
(253) 474-9253

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00007215
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5031844
WA
Enumeration date
04/22/2009
Last updated
04/22/2009
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