Organization · Type 2 NPI

Eric C Ellingsen DDS PS

Dental Clinic/Center · Spokane Valley, WA

NPI number 1083169668 Active

Practice location

1215 N Mcdonald Rd, #203
Spokane Valley, WA 99216-1557

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X601992748 (WA)

Dental Clinic/Center: Definition to come...

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About NPI 1083169668

Eric C Ellingsen DDS PS's National Provider Identifier is 1083169668, issued on Aug 24, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Spokane Valley, WA. The record was last updated on Aug 24, 2016.