Individual
DR. JACLYN M ELIASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5011 W LOWELL AVE, SUITE 130, SPOKANE, WA 99208-8587
(509) 464-3100
Mailing address
5011 W LOWELL AVE, SUITE 130, SPOKANE, WA 99208-8587
(509) 464-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60575246
WA
Other
Enumeration date
07/09/2015
Last updated
12/09/2025
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