Organization
JAMAL KUSSAD LLC
Active
Other names
Dr. J. Alexander Kussad, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAL ALEXANDER KUSSAD D.D.S. (PRESIDENT)
(360) 726-6107
Entity
Organization
Contact information
Practice address
1901 NE 162ND AVE, SUITE D-112, VANCOUVER, WA 98684-3009
(360) 726-6107
(360) 726-6105
Mailing address
1901 NE 162ND AVE, SUITE D-112, VANCOUVER, WA 98684-3009
(360) 726-6107
(360) 726-6105
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60457891
WA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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