NPI: 1316234735
Provider Name: EHLEN & FULLER DDS PLLC
Doing Business As: JACK EHLEN, DDS & JULIE FULLER, DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
11208 94TH AVE E
SUITE B
PUYALLUP, WA
ZIP 98373
Phone: (253) 848-4597
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EHLEN & FULLER DDS PLLC is a general practice dentist in Puyallup, WA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. EHLEN & FULLER DDS PLLC NPI is 1316234735. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jack Ehlen, Dds & Julie Fuller, Dds.
The provider's business location address is:
11208 94TH AVE E
SUITE B
PUYALLUP, WA
ZIP 98373-663
Phone: (253) 848-4597
The provider's authorized official is Julie Fuller .
The authorized official title is Dentist/owner and has the following contact phone number (253) 848-4597.
The enumeration date for this NPI number is 7/6/2011 and was last updated on 7/6/2011.