JACK EDWARD EHLEN

PUYALLUP, WA
NPI1356474191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  6157)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
-- JACK EDWARD EHLEN DDS
11208 B 94TH AVE E
PUYALLUP, WA 98373-3663
Phone number: 253-848-4597
Mailing Address
-- JACK EDWARD EHLEN DDS
11208 B 94TH AVE E
PUYALLUP, WA 98373-3663
Phone number: 253-848-4597
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