Organization
ELLINGSEN ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A ELLINGSEN DDS MS (MEMBER)
(509) 921-5666
Entity
Organization
Contact information
Practice address
1005 N EVERGREEN RD, SUITE 201, SPOKANE VALLEY, WA 99216-1485
(509) 921-5666
(509) 927-4842
Mailing address
1005 N EVERGREEN RD, SUITE 201, SPOKANE VALLEY, WA 99216-1485
(509) 921-5666
(509) 927-4842
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DE00006464
WA
1223E0200X
Endodontics
Primary
DE00009902
WA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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