# ROHN FALTER DDS PS

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

## Provider details

- **NPI number:** 1720240203
- **Authorized official:** ROHN FALTER DDS (PRESIDENT)
- **Authorized official phone:** (360) 623-1350

## Contact information

- **Practice address:** 1716 S GOLD ST, CENTRALIA, WA 98531-8951
- **Practice address phone:** (360) 623-1350
- **Mailing address:** 1716 S GOLD ST, CENTRALIA, WA 98531-8951
- **Mailing address phone:** (360) 623-1350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8288 | WA | Yes |

## Other

- **Enumeration date:** 06/26/2008
- **Last updated:** 06/26/2008