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Organization
JOEL M RUDE DMD PS
Active
Organization
JOEL M RUDE DMD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL MATTHEW RUDE DMD (DR OWNER)
(425) 432-1292
Entity
Organization
Contact information
Practice address
22142 SE 237TH STREET, MAPLE VALLEY, WA 98038-8534
(425) 432-1292
(425) 432-0192
Mailing address
22142 SE 237TH STREET, MAPLE VALLEY, WA 98038-8534
(425) 432-1292
(425) 432-0192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5384102
DSHS OFFICE #
WA
Enumeration date
12/19/2006
Last updated
08/22/2020
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