Individual
OMAR ELHASSADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, FFD, MSC
Contact information
Practice address
844 6TH ST, CLARKSTON, WA 99403
(208) 848-8300
(208) 848-8306
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60915436
WA
Other
Enumeration date
05/16/2019
Last updated
03/18/2022
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