Individual
SUKHMANI JASSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.D.S, M.S.
Contact information
Practice address
500 BROADWAY ST, APT 508, VANCOUVER, WA 98660-3321
(323) 241-7761
Mailing address
500 BROADWAY ST, APT 508, VANCOUVER, WA 98660-3321
(323) 241-7761
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60684370
WA
1223P0221X
Pediatric Dentistry
31390
TX
Other
Enumeration date
08/19/2015
Last updated
11/09/2016
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