Jack Edward Ehlen, DDS
NPI #1356474191 in Puyallup, Washington
Provider Information
- NPI Number
- 1356474191
- Entity Type
- Individual
- Name
- Jack Edward Ehlen, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11208 B 94TH AVE E
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98373-3663
- Phone
- (253) 848-4597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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