Organization
PACIFIC NORTHWEST ORTHODONTICS
Active
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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