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Search › Washington › 124Q00000X

Heidi Ellis, RDH

NPI 1285853788 · on the registry since 2007

Practice

Address
1822 Black Lake Blvd Sw Ste 101
Olympia, WA 98512
Phone
(360) 709-9909
Fax
(360) 709-9915
Organisation at this address
Mc3 Enterprises Llc
Edward I Dagher Md Pllc
South Sound Dentures, P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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