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Individual

DR. JAMES THOMAS RAUGUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2120 RYAN RD, BUCKLEY, WA 98321-9115
(360) 829-3077
(360) 829-3088
Mailing address
PO BOX 1954, BUCKLEY, WA 98321-1954
(360) 829-9099
(360) 829-9199

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4664
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4664
DENTAL LICENCE
WA
Enumeration date
03/07/2007
Last updated
07/08/2007
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