# DR.E.FLETCHER,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Street Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780130625
- **Authorized official:** DR. EDWARD E FLETCHER DDS (DOCTOR)
- **Authorized official phone:** (360) 748-6629

## Contact information

- **Practice address:** 256 NORTHWEST PARK STREET, CHEHALIS, WA 98532
- **Practice address phone:** (360) 748-6629
- **Mailing address:** 256 NW PARK ST, CHEHALIS, WA 98532-2023
- **Mailing address phone:** (360) 748-6629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016