Organization
RODNEY H. ELLISON, DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY HOWDEN ELLISON D.D.S. (OWNER)
(509) 452-6761
Entity
Organization
Contact information
Practice address
314 S 12TH AVE, SUITE 1, YAKIMA, WA 98902-3149
(509) 452-6761
Mailing address
314 S 12TH AVE, SUITE 1, YAKIMA, WA 98902-3149
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5351
WA
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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