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Gordon B Rosengren, Dds, Inc, Ps
Dental Clinic/Center in Kent, Washington
NPI 1730282054

Gordon B Rosengren, Dds, Inc, Ps is a Dental Clinic/Center based in Kent, WA and is specialized in Dental. Gordon B Rosengren, Dds, Inc, Ps practices in Kent, WA. The NPI Number for Gordon B Rosengren, Dds, Inc, Ps is 1730282054 and holds a License No. DE00004446 (Washington).

The current practice location address for Gordon B Rosengren, Dds, Inc, Ps is 24722 104Th Ave Se, Kent, WA and can be reached out via phone at 253-859-0123 and via fax at 253-859-5864.

Location: 24722 104Th Ave Se, Kent, WA, 98030-5322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730282054
Provider Name
Gordon B Rosengren, Dds, Inc, Ps
Credential
Provider Entity Type
Organization
Address
24722 104Th Ave Se, Kent, WA, 98030-5322
Phone Number
253-859-0123
Fax Number
253-859-5864
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
24722 104Th Ave Se
City
Kent
State
Washington
Zip
98030-5322
Phone Number
253-859-0123
Fax Number
253-859-5864
person
Provider Business Mailing Address Details
Address
24722 104Th Ave Se
City
Kent
State
Washington
Zip
98030-5322
Phone Number
253-859-0123
Fax Number
253-859-5864
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DE00004446 (Washington)
Definition
Definition to come...
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