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Organization
RODNEY H. ELLISON, DDS, PS
Active
Organization
RODNEY H. ELLISON, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY HOWDEN ELLISON D.D.S. (OWNER)
(509) 452-6761
Entity
Organization
Contact information
Practice address
314 S 12TH AVE, SUITE 1, YAKIMA, WA 98902-3149
(509) 452-6761
Mailing address
314 S 12TH AVE, SUITE 1, YAKIMA, WA 98902-3149
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5351
WA
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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