Individual
KELCEY P RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 W MAIN, PUYALLUP, WA 98371-5331
(253) 845-0520
(253) 770-8643
Mailing address
111 W MAIN, PUYALLUP, WA 98371-5331
(253) 845-0520
(253) 770-8643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11021
WA
Other
Enumeration date
01/12/2010
Last updated
06/26/2012
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