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Individual

DR. IAN ROTHBAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
12502 VERNON AVE SW, LAKEWOOD, WA 98498-2559
(253) 582-9010
(253) 582-1233
Mailing address
12502 VERNON AVE SW, LAKEWOOD, WA 98498-2559
(253) 582-9010
(253) 582-1233

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60663020
WA

Other

Enumeration date
01/24/2018
Last updated
01/24/2018
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