Donald C. Bassham D.d.s. P.s.

NPI #1922258961 in Walla Walla, Washington

Provider Information

NPI Number: 1922258961
Entity Type: Organization
Organization Name: Donald C. Bassham D.d.s. P.s.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 26, 2008
Last Updated: Jan 15, 2009

Practice Location

Address: 614 E ALDER ST
Address 2: SUITE # 6
City: Walla Walla
State: Washington
ZIP Code: 99362-2073
Phone: (509) 526-7012

Authorized Official

Name: DR. DONALD CHARLES BASSHAM, D.D.S.
Title: DIRECTOR
Phone: (509) 526-7012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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