Individual
ROBERT STRANDE CHADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
830 METCALF ST, SEDRO WOOLLEY, WA 98284
(360) 855-0351
(360) 855-9357
Mailing address
PMB 222, 826 METCALF ST, SEDRO WOOLLEY, WA 98284
(360) 855-0351
(360) 855-9357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE9780
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179143
LABOR & INDUSTRIES
WA
01
—
0B16CH
REGENCE
WA
01
—
1580682
UNITED CONCORDIA
—
05
—
5045356
—
WA
Enumeration date
12/06/2006
Last updated
07/08/2007
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