D.L. Vanderschelden, DDS, PC
Dentist, General Practice in Puyallup, WA. Organization (NPI-2).
NPI number1083076996
StatusActive
Last updated in NPPESMar 22, 2016
Details
- NPI
- 1083076996
- Entity type
- Organization (NPI-2)
- Legal business name
- D.L. Vanderschelden, DDS, PC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2016
- Last updated
- Mar 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DE00005629 | WA | Yes |
Other names
- Rainier Dental Puyallup (Other Name)
Practice location
18710 Meridian E Ste 216Puyallup, WA 98375-2231
Phone 253-846-5588 · Fax 253-846-5589
Mailing address
18710 Meridian E Ste 216Puyallup, WA 98375-2231
Phone 253-846-5588 · Fax 253-846-5589
Authorized official
Dale Vanderschelden
Owner
2538268800
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