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Individual

DR. DANNY RAY RUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

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
DE00004248
WA
1223G0001X
General Practice Dentistry
DT929
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5042718
DSHS
WA
Enumeration date
12/19/2006
Last updated
07/08/2007
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