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Organization

EID, JABER, JASSAR PLLC

Active
Parent organization
EID, JABER, JASSAR PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
EID, JABER, JASSAR PLLC
Authorized official
REBECCA OCONNOR (HR)
(360) 636-1900
Entity
Organization

Contact information

Practice address
926 S 348TH ST, FEDERAL WAY, WA 98003-7021
(360) 636-1900
Mailing address
1717 OLYMPIA WAY STE 108, LONGVIEW, WA 98632-3929
(360) 636-1900
(360) 636-7317

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
07/14/2023
Last updated
07/14/2023
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