Fred Ellis, DPD DENTURIST OF PRO

NPI 1891835310 · on the registry since 2007

Practice

Address: 1822 Black Lake Blvd Sw
Suite 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: Denturist
122400000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
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