Individual
JASMINE J. CHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10009 NE HAZEL DELL AVE, VANCOUVER, WA 98685-5203
(213) 220-0788
Mailing address
10009 NE HAZEL DELL AVE, VANCOUVER, WA 98685-5203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10366
OR
122300000X
Dentist
Primary
60606898
WA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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