Organization
ERIC C ELLINGSEN DDS PS
Active
Other names
Smile Source Spokane
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC C ELLINGSEN (OWNER)
(509) 924-2866
Entity
Organization
Contact information
Practice address
1215 N MCDONALD RD, #203, SPOKANE VALLEY, WA 99216-1557
(509) 924-2866
Mailing address
1215 N MCDONALD RD, #203, SPOKANE VALLEY, WA 99216-1557
(509) 924-2866
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
601992748
WA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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