| Joel M Rude Dmd Ps | |
|
22142 Se 237th Street Maple Valley WA 98038-8534 | |
| (425) 432-1292 | |
| (425) 432-0192 |
| Full Name | Joel M Rude Dmd Ps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22142 Se 237th Street, Maple Valley, Washington |
| Authorized Official Name and Position | Joel Matthew Rude (DR OWNER) |
| Authorized Official Contact | 4254321292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel M Rude Dmd Ps 22142 Se 237th Street Maple Valley WA 98038-8534 Ph: (425) 432-1292 | Joel M Rude Dmd Ps 22142 Se 237th Street Maple Valley WA 98038-8534 Ph: (425) 432-1292 |
| NPI Number | 1053474288 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053474288 | NPI | - | NPPES |
| 5384102 | Other | WA | DSHS OFFICE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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