# D.L. VANDERSCHELDEN, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rainier Dental Puyallup
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083076996
- **Authorized official:** DR. DALE VANDERSCHELDEN DDS (OWNER)
- **Authorized official phone:** (253) 826-8800

## Contact information

- **Practice address:** 18710 MERIDIAN E STE 216, PUYALLUP, WA 98375-2231
- **Practice address phone:** (253) 846-5588
- **Practice address fax:** (253) 846-5589
- **Mailing address:** 18710 MERIDIAN E STE 216, PUYALLUP, WA 98375-2231
- **Mailing address phone:** (253) 846-5588
- **Mailing address fax:** (253) 846-5589

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00005629 | WA | Yes |

## Other

- **Enumeration date:** 03/22/2016
- **Last updated:** 03/22/2016