Provider Demographics
NPI:1801246277
Name:YASSIN, ALAA (DDS, MS, MSD)
Entity type:Individual
Prefix:DR
First Name:ALAA
Middle Name:
Last Name:YASSIN
Suffix:
Gender:M
Credentials:DDS, MS, MSD
Other - Prefix:DR
Other - First Name:ALAN
Other - Middle Name:
Other - Last Name:YASSIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, MS, MSD
Mailing Address - Street 1:PO BOX 82536
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-0536
Mailing Address - Country:US
Mailing Address - Phone:206-317-9549
Mailing Address - Fax:
Practice Address - Street 1:9750 NE 120TH PL STE 8
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4207
Practice Address - Country:US
Practice Address - Phone:908-502-2223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-16
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE.60667623‏122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist