Organization
ROWLEY AND RUDER, PLLC
Active
Other names
Small To Tall Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J GOWAN FAADOM (OFFICE BUSINESS MANAGER)
(360) 459-5885
Entity
Organization
Contact information
Practice address
222 LILLY RD NE, OLYMPIA, WA 98506-6103
(360) 459-5885
Mailing address
222 LILLY RD NE, OLYMPIA, WA 98506-5031
(360) 459-5885
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122300000X
—
WA
Enumeration date
05/09/2007
Last updated
01/21/2014
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