Organization
GORDON B ROSENGREN, DDS, INC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON B. ROSENGREN DDS (PRESIDENT)
(253) 859-0123
Entity
Organization
Contact information
Practice address
24722 104TH AVE SE, SUITE 201, KENT, WA 98030-5322
(253) 859-0123
(253) 859-5864
Mailing address
24722 104TH AVE SE, SUITE 201, KENT, WA 98030-5322
(253) 859-0123
(253) 859-5864
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00004446
WA
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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