# RODERICK W. TATARYN D.D.S., M.S., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942414065
- **Authorized official:** DR. RODERICK WILLIAM TATARYN D.D.S., M.S. (OWNER-PRESIDENT)
- **Authorized official phone:** (509) 747-7665

## Contact information

- **Practice address:** 2700 S SOUTHEAST BLVD, SUITE 201, SPOKANE, WA 99223-4984
- **Practice address phone:** (509) 747-7665
- **Practice address fax:** (509) 747-0435
- **Mailing address:** 2700 S SOUTHEAST BLVD, SUITE 201, SPOKANE, WA 99223-4984
- **Mailing address phone:** (509) 747-7665
- **Mailing address fax:** (509) 747-0435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 7248 | WA | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020
