Organization
DONALD C. BASSHAM D.D.S. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD CHARLES BASSHAM D.D.S. (DIRECTOR)
(509) 526-7012
Entity
Organization
Contact information
Practice address
614 E ALDER ST, SUITE # 6, WALLA WALLA, WA 99362-2073
(509) 526-7012
(509) 526-7013
Mailing address
614 E ALDER ST, SUITE # 6, WALLA WALLA, WA 99362-2073
(509) 526-7012
(509) 526-7013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5027610
—
WA
05
—
5057898
—
WA
Enumeration date
09/26/2008
Last updated
01/15/2009
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