| Robert B. Rourke D.D.S., P.S. | |
|
10920 Se 208th St Kent WA 98031-4009 | |
| (253) 852-7331 | |
| (253) 813-3826 |
| Full Name | Robert B. Rourke D.D.S., P.S. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10920 Se 208th St, Kent, Washington |
| Authorized Official Name and Position | Robert B. Rourke (PRESIDENT) |
| Authorized Official Contact | 2538527331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert B. Rourke D.D.S., P.S. 10920 Se 208th St Kent WA 98031-4009 Ph: (253) 852-7331 | Robert B. Rourke D.D.S., P.S. 10920 Se 208th St Kent WA 98031-4009 Ph: (253) 852-7331 |
| NPI Number | 1457564536 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457564536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00004668 (Washington) | Primary |
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