Provider Demographics
NPI:1487775912
Name:AABY, ROYAL CHANDLER (DDS)
Entity type:Individual
Prefix:MR
First Name:ROYAL
Middle Name:CHANDLER
Last Name:AABY
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 1:10404 SILVERDALE WAY NW SUITE #E-109
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383
Mailing Address - Country:US
Mailing Address - Phone:360-536-9033
Mailing Address - Fax:360-698-1067
Practice Address - Street 1:10404 SILVERDALE WAY NW
Practice Address - Street 2:SUITE E-109
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383
Practice Address - Country:US
Practice Address - Phone:360-536-9033
Practice Address - Fax:360-698-1067
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253391223G0001X
WADE605182081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice