IndividualActive
Ephraim Rollolazo
NPI 1871040378 · Denturist · Everett, WA
Provider details
- NPI number
- 1871040378
- Entity type
- Individual
- Primary specialty
- DenturistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN60142153 (WA)
Specialties & taxonomies
Dental Providers
Practice location
1111 Pacific Ave Ste a
Everett, WA 98201-4200
Phone: (425) 374-8470
Approximate (ZIP-level) locationGet directions
Mailing address
111 Pacific Ave
Everett, WA 98201
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.