Organization
EID, JABER, JASSAR, PLLC
Active
Other names
Happy Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
HAZAR JABER (CEO)
(360) 636-1900
Entity
Organization
Contact information
Practice address
1717 OLYMPIA WAY, SUITE 108, LONGVIEW, WA 98632-3929
(360) 636-1900
(360) 636-7317
Mailing address
1717 OLYMPIA WAY, SUITE 108, LONGVIEW, WA 98632-3929
(360) 636-1900
(360) 636-7317
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5045679
—
WA
Enumeration date
03/11/2010
Last updated
02/10/2020
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