Organization
ROHN FALTER DDS PS
Active
Other names
Fairway Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROHN FALTER DDS (PRESIDENT)
(360) 623-1350
Entity
Organization
Contact information
Practice address
1716 S GOLD ST, CENTRALIA, WA 98531-8951
(360) 623-1350
Mailing address
1716 S GOLD ST, CENTRALIA, WA 98531-8951
(360) 623-1350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8288
WA
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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