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Organization
ERIC ELLINGSEN DDS, PS
Active
Organization
ERIC ELLINGSEN DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC C ELLINGSEN DDS (OWNER)
(509) 924-2866
Entity
Organization
Contact information
Practice address
1215 N MCDONALD RD STE 203, SPOKANE VALLEY, WA 99216-1557
(509) 924-2866
(509) 924-8311
Mailing address
1215 N MCDONALD RD STE 203, SPOKANE VALLEY, WA 99216-1557
(509) 924-2866
(509) 924-8311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE79703
WA
Other
Enumeration date
04/10/2008
Last updated
06/19/2008
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