Individual
ERIN E ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
313 N SPOKANE ST, POST FALLS, ID 83854-9513
(208) 773-4579
(208) 773-0286
Mailing address
313 N SPOKANE ST, POST FALLS, ID 83854-9513
(208) 640-6730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3695
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806309500
—
ID
Enumeration date
10/03/2006
Last updated
01/11/2016
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