Individual
ISHITA MASAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11065 PACIFIC CREST PL NW STE B105, SILVERDALE, WA 98383-6607
(360) 261-6154
Mailing address
11065 PACIFIC CREST PL NW STE B105, SILVERDALE, WA 98383-6607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61298211
WA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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