Individual
DR. THOMAS CHARLES RHODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 W MAIN, PUYALLUP, WA 98371-5331
(253) 845-0520
(253) 770-8643
Mailing address
111 W MAIN, PUYALLUP, WA 98371-5331
(253) 845-0520
(253) 770-8643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5503305
DEPT OF SOCIAL & HEALTH
WA
01
—
664679
UNITED CONCORDIA
WA
Enumeration date
03/13/2007
Last updated
06/26/2012
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