Individual
DR. CRAIG C. ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
826 N MULLAN RD, STE C, SPOKANE VALLEY, WA 99206-4094
(509) 924-1580
(509) 924-1619
Mailing address
826 N MULLAN RD STE C, SPOKANE VALLEY, WA 99206-4094
(509) 924-1580
(509) 924-1619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60390327
WA
1223G0001X
General Practice Dentistry
B38275
CA
Other
Enumeration date
03/08/2007
Last updated
02/20/2014
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