| Rainier Dental Tacoma | |
|
5003 Tacoma Mall Blvd Ste 103 Tacoma WA 98409-7120 | |
| (253) 759-3366 | |
| Not Available |
| Full Name | Rainier Dental Tacoma |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5003 Tacoma Mall Blvd Ste 103, Tacoma, Washington |
| Authorized Official Name and Position | Dale Vanderschelden (OWNER) |
| Authorized Official Contact | 2537593366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainier Dental Tacoma 5003 Tacoma Mall Blvd Ste 103 Tacoma WA 98409-7120 Ph: (253) 759-3366 | Rainier Dental Tacoma 5003 Tacoma Mall Blvd Ste 103 Tacoma WA 98409-7120 Ph: (253) 759-3366 |
| NPI Number | 1730543240 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730543240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00005629 (Washington) | Primary |
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