Individual
DR. DONALD CHARLES BASSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
614 E ALDER ST, SUITE #6, WALLA WALLA, WA 99362-2073
(509) 526-7012
(509) 526-7013
Mailing address
614 E ALDER ST, SUITE #6, WALLA WALLA, WA 99362-2073
(509) 526-7012
(509) 526-7013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5027610
—
WA
Enumeration date
03/30/2007
Last updated
07/09/2007
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