| Gordon B Rosengren, Dds, Inc, Ps | |
|
24722 104th Ave Se Suite 201 Kent WA 98030-5322 | |
| (253) 859-0123 | |
| (253) 859-5864 |
| Full Name | Gordon B Rosengren, Dds, Inc, Ps |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24722 104th Ave Se, Kent, Washington |
| Authorized Official Name and Position | Gordon B. Rosengren (PRESIDENT) |
| Authorized Official Contact | 2538590123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon B Rosengren, Dds, Inc, Ps 24722 104th Ave Se Suite 201 Kent WA 98030-5322 Ph: (253) 859-0123 | Gordon B Rosengren, Dds, Inc, Ps 24722 104th Ave Se Suite 201 Kent WA 98030-5322 Ph: (253) 859-0123 |
| NPI Number | 1730282054 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730282054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00004446 (Washington) | Primary |
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