| NPI | 1053761387 |
|---|---|
| Doing Business As | SEQUIM VALLEY ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RYAN RUDD President 360-683-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE 60293923) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |