Provider Demographics
NPI:1861475873
Name:REH, ELLEN E (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:E
Last Name:REH
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 1:14950 SE ALLEN RD
Mailing Address - Street 2:#C
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-1655
Mailing Address - Country:US
Mailing Address - Phone:425-746-2038
Mailing Address - Fax:425-746-0915
Practice Address - Street 1:14950 SE ALLEN RD
Practice Address - Street 2:#C
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-1655
Practice Address - Country:US
Practice Address - Phone:425-746-2038
Practice Address - Fax:425-746-0915
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA8779122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8779OtherLICENSE NUMBER