| Rainier Dental Puyallup | |
|
18710 Meridian E Ste 216 Puyallup WA 98375-2231 | |
| (253) 846-5588 | |
| (253) 846-5589 |
| Full Name | Rainier Dental Puyallup |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18710 Meridian E Ste 216, Puyallup, Washington |
| Authorized Official Name and Position | Dale Vanderschelden (OWNER) |
| Authorized Official Contact | 2538268800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainier Dental Puyallup 18710 Meridian E Ste 216 Puyallup WA 98375-2231 Ph: (253) 846-5588 | Rainier Dental Puyallup 18710 Meridian E Ste 216 Puyallup WA 98375-2231 Ph: (253) 846-5588 |
| NPI Number | 1083076996 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083076996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00005629 (Washington) | Primary |
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Kim D Nordberg Dds, Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11023 Canyon Rd E, Puyallup, WA 98373 Phone: 253-535-6666 Fax: 253-535-5432 | |
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