Individual provider · NPI-1

Jasmine Bassali, DDS

Dentist, General Practice · Edmonds, WA

NPI number1699012989
StatusActive
Last updated in NPPESDec 6, 2023

Details

NPI
1699012989
Entity type
Individual (NPI-1)
Name
Mrs. Jasmine Bassali
Credential
DDS
Sex
Female
Sole proprietor
No
Enumeration date
Jan 7, 2013
Certification date
Dec 6, 2023
Last updated
Dec 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDE60172597WAYes

Practice location

23805 Highway 99
Suite 100
Edmonds, WA 98026-9204

Phone 425-778-6333

Mailing address

1200 12th Ave S Ste 901
Seattle, WA 98144-2712

Phone 206-548-3114 · Fax 206-262-0859

Other practice locations

10521 Meridian Ave N
Seattle, WA 98133

Phone 206-548-5850 · Fax 206-517-5578

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