Craig C Ellsworth DDS INC
NPI #1043635543 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1043635543
- Entity Type
- Organization
- Organization Name
- Craig C Ellsworth DDS INC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Feb 20, 2014
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 12209 E. MISSION AVE SUITE 1
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99206
- Phone
- (509) 924-1580
Authorized Official
- Name
- CRAIG COOPER ELLSWORTH, DDS
- Title
- PRESIDENT
- Phone
- (509) 924-1580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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