Individual
DR. JOEL MATTHEW RUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
22142 SE 237TH STREET, MAPLE VALLEY, WA 98038-8534
(425) 432-1292
(425) 432-0192
Mailing address
22142 SE 237TH STREET, MAPLE VALLEY, WA 98038-8534
(425) 432-1292
(425) 432-0192
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5042726
DSHS
WA
Enumeration date
12/19/2006
Last updated
07/08/2007
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