| Ruddell Road Dental Center | |
|
1607 Ruddell Rd Se Lacey WA 98503-2757 | |
| (360) 459-1600 | |
| Not Available |
| Full Name | Ruddell Road Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1607 Ruddell Rd Se, Lacey, Washington |
| Authorized Official Name and Position | Jared Douglas Persinger (DENTIST/OWNER) |
| Authorized Official Contact | 3604591600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruddell Road Dental Center 1607 Ruddell Rd Se Lacey WA 98503-2757 Ph: (360) 459-1600 | Ruddell Road Dental Center 1607 Ruddell Rd Se Lacey WA 98503-2757 Ph: (360) 459-1600 |
| NPI Number | 1295040327 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 01/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295040327 | NPI | - | NPPES |
| 1114158730 | Other | WA | INDIVIDUAL NPI FOR DR. JARED D. PERSINGER, DDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60170217 (Washington) | Primary |
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