Provider Demographics
NPI:1245065432
Name:TOKAR, ELLA
Entity type:Individual
Prefix:
First Name:ELLA
Middle Name:
Last Name:TOKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35843 13TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-7239
Mailing Address - Country:US
Mailing Address - Phone:253-332-1621
Mailing Address - Fax:
Practice Address - Street 1:35843 13TH AVE SW
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-7239
Practice Address - Country:US
Practice Address - Phone:253-332-1621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant