| NPI | 1467818500 |
|---|---|
| Doing Business As | DR. J. ALEXANDER KUSSAD, DDS |
| Entity Type | Organization |
| Authorized Contact | JAMAL ALEXANDER KUSSAD President 360-726-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60457891) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |