Individual
DR. REX DATOR DE ASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5720 RUDDELL RD SE, # UNIT B, LACEY, WA 98503
(360) 438-0805
(360) 528-2219
Mailing address
5720 RUDDELL RD SE, # UNIT B, LACEY, WA 98503
(360) 438-0805
(360) 528-2219
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2022049977
MO
Other
Enumeration date
10/17/2006
Last updated
10/29/2025
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