NPI 1023194701

Phillips B Trautman, DDS

Practitioner General Practice Dentistry Bellingham, WA

Practice location

Address: 4164 Meridian St Suite 300, Bellingham, WA 98226-5583
Phone: (360) 676-8822
Fax: (360) 676-7488

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DE00005494 (WA)

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Registry record

NPI: 1023194701
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2006
Record last updated: 30 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.