Individual
DR. NIKOLAS EDWARD RAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
Mailing address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D9369
OR
1223G0001X
General Practice Dentistry
Primary
DE60262496
WA
Other
Enumeration date
11/11/2009
Last updated
04/25/2012
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