# ELPERIN DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunrise Dental of Ellensburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609221068
- **Authorized official:** MISS MELISSA INEZ COSTI (MANAGER)
- **Authorized official phone:** (509) 925-3160

## Contact information

- **Practice address:** 306 S MAIN ST, SUITE 1, ELLENSBURG, WA 98926-3608
- **Practice address phone:** (509) 925-3160
- **Practice address fax:** (509) 232-7181
- **Mailing address:** 306 SOUTH MAIN STREET, SUITE 1, ELLENSBURG, WA 98926
- **Mailing address phone:** (509) 925-3160
- **Mailing address fax:** (509) 232-7181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60169589 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE60512243 | WA | — |
| 1223G0001X | General Practice Dentistry | DE60559041 | WA | — |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 06/08/2016
