Provider Demographics
NPI:1184713208
Name:ROHN, DELBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:DELBERT
Middle Name:
Last Name:ROHN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 S.E.PRO-MALL BLVD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163
Mailing Address - Country:US
Mailing Address - Phone:509-332-2366
Mailing Address - Fax:509-334-1931
Practice Address - Street 1:1205 S.E.PRO-MALL BLVD.
Practice Address - Street 2:SUITE #201
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163
Practice Address - Country:US
Practice Address - Phone:509-332-2366
Practice Address - Fax:509-334-1931
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA32261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice