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Organization

CRAIG C ELLSWORTH DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG COOPER ELLSWORTH DDS (PRESIDENT)
(509) 924-1580
Entity
Organization

Contact information

Practice address
12209 E. MISSION AVE SUITE 1, SPOKANE VALLEY, WA 99206
(509) 924-1580
(509) 342-7890
Mailing address
12209 E. MISSION AVE SUITE 1, SPOKANE VALLEY, WA 99206
(509) 924-1580
(509) 342-7890

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DE60390327
WA

Other

Enumeration date
02/20/2014
Last updated
02/03/2026
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