| NPI | 1730543240 |
|---|---|
| Other Name | RAINIER DENTAL TACOMA |
| Entity Type | Organization |
| Authorized Contact | DALE VANDERSCHELDEN Owner 253-759-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00005629) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |