| NPI | 1083076996 |
|---|---|
| Other Name | RAINIER DENTAL PUYALLUP |
| Entity Type | Organization |
| Authorized Contact | DALE VANDERSCHELDEN Owner 253-826-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00005629) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |