Organization
ERIC C ELLINGSEN DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC C ELLINGSEN DDS (OWNER)
(509) 924-2866
Entity
Organization
Contact information
Practice address
1215 N MCDONALD RD, SUITE 203, SPOKANE VALLEY, WA 99216-1557
(509) 924-2866
(509) 924-8311
Mailing address
1215 N MCDONALD RD, SUITE 203, SPOKANE VALLEY, WA 99216-1557
(509) 924-2866
(509) 924-8311
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
601992748
WA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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