Healthcare Provider Details

I. General information

NPI: 1568062701
Provider Name (Legal Business Name): KARLA AYLEN, DDS, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 05/17/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11066 5TH AVE NE STE 208
SEATTLE WA
98125-6156
US

IV. Provider business mailing address

11066 5TH AVE NE STE 208
SEATTLE WA
98125-6156
US

V. Phone/Fax

Practice location:
  • Phone: 206-362-1516
  • Fax:
Mailing address:
  • Phone: 206-362-1516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANDRA HACHLER
Title or Position: RECEPTIONIST
Credential:
Phone: 425-344-9848