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Organization
DALE L. VANDERSCHELDEN DDS PS
Active
Organization
DALE L. VANDERSCHELDEN DDS PS
Active
Other names
Rainier Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE REMINGTON (EXECUTIVE ASST)
(253) 826-8800
Entity
Organization
Contact information
Practice address
18209 SR 410 E, STE 300, BONNEY LAKE, WA 98391-5146
(253) 826-8800
Mailing address
18209 SR 410 E, STE 300, BONNEY LAKE, WA 98391-5146
(253) 826-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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