Individual
EMMETT NULPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
(509) 454-3651
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
(509) 454-4143
(509) 454-3651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010612
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5051222
—
WA
Enumeration date
07/30/2006
Last updated
07/07/2011
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