Ronald H. Ellingsen, Pllc
NPI #1114767910 in Redmond, Washington
Provider Information
- NPI Number
- 1114767910
- Entity Type
- Organization
- Organization Name
- Ronald H. Ellingsen, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RONALD H. ELLINGSEN, PLLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- May 29, 2024
- Last Updated
- May 29, 2024
Practice Location
- Address
- 16150 NE 85TH ST STE 124
- City
- Redmond
- State
- Washington
- ZIP Code
- 98052-3544
- Phone
- (425) 885-1642
Authorized Official
- Name
- CHARLOTTE DASCH
- Title
- DIRECTOR OF CRED AND PROV RELATIONS
- Phone
- (504) 638-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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