Individual
DR. RONALD L. WELLBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 VALLEY MALL PKWY, EAST WENATCHEE, WA 98802-7728
(509) 886-2500
(509) 886-3600
Mailing address
210 VALLEY MALL PKWY, EAST WENATCHEE, WA 98802-7728
(509) 886-2500
(509) 886-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7205
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00904187
UNITED CONCORDIA COMPANY
PA
05
—
5016910
—
WA
01
—
8924565
LABOR & INDUSTRIES
WA
Enumeration date
09/14/2006
Last updated
03/07/2023
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