| Rodney H. Ellison, Dds, Ps | |
|
314 S 12th Ave Suite 1 Yakima WA 98902-3149 | |
| (509) 452-6761 | |
| Not Available |
| Full Name | Rodney H. Ellison, Dds, Ps |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 314 S 12th Ave, Yakima, Washington |
| Authorized Official Name and Position | Rodney Howden Ellison (OWNER) |
| Authorized Official Contact | 5094526761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney H. Ellison, Dds, Ps 314 S 12th Ave Suite 1 Yakima WA 98902-3149 Ph: () - | Rodney H. Ellison, Dds, Ps 314 S 12th Ave Suite 1 Yakima WA 98902-3149 Ph: (509) 452-6761 |
| NPI Number | 1851545768 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851545768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5351 (Washington) | Primary |
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