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
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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