Eric C Ellingsen DDS Ps

NPI #1083169668 in Spokane Valley, Washington

Provider Information

NPI Number
1083169668
Entity Type
Organization
Organization Name
Eric C Ellingsen DDS Ps
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 24, 2016
Last Updated
Aug 24, 2016

Practice Location

Address
1215 N MCDONALD RD
Address 2
#203
ZIP Code
99216-1557
Phone
(509) 924-2866

Authorized Official

Name
DR. ERIC C ELLINGSEN
Title
OWNER
Phone
(509) 924-2866

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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