| Rainier Dental-sumner | |
|
15208 Main St E Sumner WA 98390-2638 | |
| (253) 891-9100 | |
| (253) 863-9368 |
| Full Name | Rainier Dental-sumner |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15208 Main St E, Sumner, Washington |
| Authorized Official Name and Position | Angela M Rodriguez (OFFICE MANAGER) |
| Authorized Official Contact | 2538919100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainier Dental-sumner 15208 Main St E Sumner WA 98390-2638 Ph: (253) 891-9100 | Rainier Dental-sumner 15208 Main St E Sumner WA 98390-2638 Ph: (253) 891-9100 |
| NPI Number | 1760793467 |
|---|---|
| Provider Enumeration Date | 06/28/2010 |
| Last Update Date | 06/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760793467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5629 (Washington) | Primary |
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