| Ellingsen Henneberg Pllc | |
|
6817 N Cedar Rd Ste 201 Spokane WA 99208-4277 | |
| (509) 326-8170 | |
| Not Available |
| Full Name | Ellingsen Henneberg Pllc |
|---|---|
| Speciality | Dentist |
| Location | 6817 N Cedar Rd Ste 201, Spokane, Washington |
| Authorized Official Name and Position | Eric Ellingsen (OWNER) |
| Authorized Official Contact | 5099242866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellingsen Henneberg Pllc 1215 N Mcdonald Rd Ste 203 Spokane Valley WA 99216-1557 Ph: (509) 924-2866 | Ellingsen Henneberg Pllc 6817 N Cedar Rd Ste 201 Spokane WA 99208-4277 Ph: (509) 326-8170 |
| NPI Number | 1841845211 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 08/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841845211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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