| Dr. Nancy K. Rothbauer | |
|
12502 Vernon Ave Sw Lakewood WA 98498-2559 | |
| (253) 582-9010 | |
| (253) 582-1233 |
| Full Name | Dr. Nancy K. Rothbauer |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12502 Vernon Ave Sw, Lakewood, Washington |
| Authorized Official Name and Position | Nancy Rothbauer (GENERAL DENTIST) |
| Authorized Official Contact | 2535829010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Nancy K. Rothbauer 12502 Vernon Ave Sw Lakewood WA 98498-2559 Ph: (253) 582-9010 | Dr. Nancy K. Rothbauer 12502 Vernon Ave Sw Lakewood WA 98498-2559 Ph: (253) 582-9010 |
| NPI Number | 1275986218 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275986218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60663020 (Washington) | Primary |
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