Individual
DR. RONALD H. ELLINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.D.
Contact information
Practice address
9915 N DIVISION ST, SPOKANE, WA 99218-1303
(509) 467-2606
(509) 465-8272
Mailing address
9915 N DIVISION ST, SPOKANE, WA 99218-1303
(509) 467-2606
(509) 465-8272
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5033576
—
WA
Enumeration date
10/03/2006
Last updated
07/08/2007
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