Individual
ESAM ALAZZABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2621 NE 134TH ST STE 300, VANCOUVER, WA 98686-3036
(360) 718-2355
Mailing address
3100 SE 168TH AVE, VANCOUVER, WA 98683-2101
(503) 267-1371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL.60592319
WA
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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