Individual provider · Type 1 NPI

Fred E. Ellis, DPD DENTURIST OF PRO

Denturist · Olympia, WA

NPI number 1891835310 Active

Practice location

1822 Black Lake Blvd SW, Suite 101
Olympia, WA 98512

Fax (360) 709-9915

Specialties and licenses

TaxonomyCodeLicense
Denturist Primary 122400000XDN00000358 (WA)

Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

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About NPI 1891835310

Fred E. Ellis, DPD DENTURIST OF PRO's National Provider Identifier is 1891835310, issued on Feb 7, 2007. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Olympia, WA. The record was last updated on Jul 8, 2007.