Organization
DEBRA M. ENNEKING DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA M ENNEKING DDS (DDS./)
(253) 858-5869
Entity
Organization
Contact information
Practice address
6504 WOLLOCHET DRIVE N.W., GIG HARBOR, WA 98335
(253) 858-5869
(253) 858-5849
Mailing address
6504 WOLLOCHET DRIVE N.W., GIG HARBOR, WA 98335
(253) 858-5869
(253) 858-5849
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7066
WA
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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