Individual
DR. ELLERY GRACE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1502 N VERCLER RD, SPOKANE VALLEY, WA 99216
(509) 444-8200
(509) 444-7806
Mailing address
203 N WASHINGTON ST STE 300, SPOKANE, WA 99201-0254
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60877908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275052359
STATE
WA
Enumeration date
10/12/2018
Last updated
01/30/2019
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