# DALE L. VANDERSCHELDEN, DDS CHARTERED

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

## Provider details

- **NPI number:** 1730543240
- **Authorized official:** DR. DALE VANDERSCHELDEN DDS (OWNER)
- **Authorized official phone:** (253) 759-3366

## Contact information

- **Practice address:** 5003 TACOMA MALL BLVD STE 103, TACOMA, WA 98409-7120
- **Practice address phone:** (253) 759-3366
- **Mailing address:** 5003 TACOMA MALL BLVD STE 103, TACOMA, WA 98409-7120
- **Mailing address phone:** (253) 759-3366

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2016
- **Last updated:** 04/11/2016