Individual
IRIFF KEISHA DOLLAGA ULEP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2401 W DOLARWAY RD, ELLENSBURG, WA 98926-9309
(509) 925-6553
Mailing address
204 VALLEYVIEW AVE APT 2, SELAH, WA 98942-4007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60946287
WA
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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