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Contact Information

RICHARD LAUDERBACK, DDS
9900 LINCOLN STREET, 2ND FLOOR
ATTN: CREDENTIALS OFFICE
TACOMA, WA98327
 Phone: 253-968-4079
 Fax: 253-968-5916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RICHARD LAUDERBACK · (Male)

NPI # 1164898532
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/19/2015
Last updated 08/19/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TN License # DS0000010113
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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