# DALE L. VANDERSCHELDEN DDS PS

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

## Provider details

- **NPI number:** 1083962187
- **Authorized official:** NICOLE REMINGTON (EXECUTIVE ASST)
- **Authorized official phone:** (253) 826-8800

## Contact information

- **Practice address:** 18209 SR 410 E, STE 300, BONNEY LAKE, WA 98391-5146
- **Practice address phone:** (253) 826-8800
- **Mailing address:** 18209 SR 410 E, STE 300, BONNEY LAKE, WA 98391-5146
- **Mailing address phone:** (253) 826-8800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2012
- **Last updated:** 08/21/2012