Search › Washington › 1223G0001X
Ian Rothbauer, DMD
NPI 1801394846 · on the registry since 2018 · sole proprietor
Practice
- Address
- 12502 Vernon Ave Sw
Lakewood, WA 98498 - Phone
- (253) 582-9010
- Fax
- (253) 582-1233
- Organisation at this address
- Dr. Nancy K. Rothbauer
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington