NPI | 1932443843 |
---|---|
Doing Business As | SHALTRY AND RUDD ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | RYAN RUDD President 360-457-4991 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE 60293923) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |