Individual
ROBERT ROLAND FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11572 C STREET, TACOMA, WA 98433
(253) 967-4989
(253) 967-7216
Mailing address
11572 C STREET, TACOMA, WA 98433
(253) 967-4989
(253) 967-7216
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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