Organization
ROBERT B. ROURKE D.D.S., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B. ROURKE D.D.S. (PRESIDENT)
(253) 852-7331
Entity
Organization
Contact information
Practice address
10920 SE 208TH ST, KENT, WA 98031-4009
(253) 852-7331
(253) 813-3826
Mailing address
10920 SE 208TH ST, KENT, WA 98031-4009
(253) 852-7331
(253) 813-3826
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00004668
WA
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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