# DEBRA M. ENNEKING DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164843694
- **Authorized official:** DEBRA M ENNEKING DDS (DDS./)
- **Authorized official phone:** (253) 858-5869

## Contact information

- **Practice address:** 6504 WOLLOCHET DRIVE N.W., GIG HARBOR, WA 98335
- **Practice address phone:** (253) 858-5869
- **Practice address fax:** (253) 858-5849
- **Mailing address:** 6504 WOLLOCHET DRIVE N.W., GIG HARBOR, WA 98335
- **Mailing address phone:** (253) 858-5869
- **Mailing address fax:** (253) 858-5849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7066 | WA | Yes |

## Other

- **Enumeration date:** 12/31/2013
- **Last updated:** 12/31/2013
