Individual
CARLA LEERAE PFEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1801 E 14TH AVE, ELLENSBURG, WA 98926-5127
(509) 962-2248
Mailing address
PO BOX 785, ELLENSBURG, WA 98926-0785
(509) 962-2248
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00002636
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900261
—
WA
Enumeration date
04/10/2007
Last updated
07/09/2007
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