Individual
DR. YAZAN JABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1717 OLYMPIA WAY, 3108, LONGVIEW, WA 98632
(360) 636-1900
Mailing address
1717 OLYMPIA WAY, #108, LONGVIEW, WA 98632
(360) 636-1900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60724094
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2015
Last updated
12/07/2017
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