# PATRICK ROONEY D.D.S. P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blaine Harbor Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083884191
- **Authorized official:** DR. PATRICK JAMES ROONEY D.D.S. P.S. (PRESIDENT)
- **Authorized official phone:** (360) 332-2400

## Contact information

- **Practice address:** 215 MARINE DR \# 1, BLAINE, WA 98230-4036
- **Practice address phone:** (360) 332-2400
- **Practice address fax:** (360) 332-7161
- **Mailing address:** 215 MARINE DR \# 1, BLAINE, WA 98230-4036
- **Mailing address phone:** (360) 332-2400
- **Mailing address fax:** (360) 332-7161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00007541 | WA | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5028790 | — | WA |