Organization
ELLINGSEN HENNEBERG PLLC
Active
Other names
Smile Source Spokane, Smile Source North
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ELLINGSEN DDS (OWNER)
(509) 924-2866
Entity
Organization
Contact information
Practice address
6817 N CEDAR RD STE 201, SPOKANE, WA 99208-4277
(509) 326-8170
Mailing address
1215 N MCDONALD RD STE 203, SPOKANE VALLEY, WA 99216-1557
(509) 924-2866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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