Provider Demographics
NPI:1689962987
Name:ULRICH, ASHLEY SCHWARK (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:SCHWARK
Last Name:ULRICH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10709 BEARDSLEE BLVD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3280
Mailing Address - Country:US
Mailing Address - Phone:425-486-8666
Mailing Address - Fax:
Practice Address - Street 1:10709 BEARDSLEE BLVD
Practice Address - Street 2:SUITE #101
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3280
Practice Address - Country:US
Practice Address - Phone:425-486-8666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE602378551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice