Organization
DOUGLAS G. RUNDLE, D.M.D, P.C
Active
Parent organization
DOUGLAS G. RUNDLE, D.M.D., P.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOUGLAS G. RUNDLE, D.M.D., P.C
Authorized official
DOUGLAS RUNDLE (PERIODONTIST)
(509) 467-7181
Entity
Organization
Contact information
Practice address
10121 N NEVADA ST, SUITE 102, SPOKANE, WA 99218-3120
(509) 467-7181
(509) 464-0953
Mailing address
10121 N NEVADA ST, SUITE 102, SPOKANE, WA 99218-3120
(509) 467-7181
(509) 464-0953
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
08/14/2008
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