Individual provider · Type 1 NPI
John M. Iasella, DDS MS
Periodontics · Yakima, WA
NPI number
1871656850
Active
Practice location
410 S 12 Avenue
Yakima, WA 98902
Fax (509) 452-8260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DE00009364 (WA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1871656850
John M. Iasella, DDS MS's National Provider Identifier is 1871656850, issued on Dec 19, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Yakima, WA. The record was last updated on Jul 8, 2007.