Individual
DR. GRANT F. RODKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
850 MAPLE STREET, EASTERN STATE HOSPITAL, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-4705
Mailing address
PO BOX 800, EASTERN STATE HOSPITAL, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-4705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D3337
ID
1223G0001X
General Practice Dentistry
D7434
OR
1223G0001X
General Practice Dentistry
Primary
DE00008198
WA
Other
Enumeration date
05/15/2007
Last updated
11/23/2016
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