Provider Demographics
NPI:1942936638
Name:PASCUAL, SABRINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:PASCUAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JAYSON
Other - Middle Name:
Other - Last Name:PASCUAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:8104 134TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-2512
Mailing Address - Country:US
Mailing Address - Phone:253-339-8005
Mailing Address - Fax:877-323-7971
Practice Address - Street 1:21110 MERIDIAN E STE E3
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-5706
Practice Address - Country:US
Practice Address - Phone:253-339-8005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE613236991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice