Ruddell Road Dental Center

NPI #1295040327 in Lacey, Washington

Provider Information

NPI Number
1295040327
Entity Type
Organization
Organization Name
Ruddell Road Dental Center
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 12, 2010
Last Updated
Jan 31, 2012

Practice Location

Address
1607 RUDDELL RD SE
City
Lacey
ZIP Code
98503-2757
Phone
(360) 459-1600

Authorized Official

Name
DR. JARED DOUGLAS PERSINGER, DDS
Title
DENTIST/OWNER
Phone
(360) 459-1600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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