Ronald H. Ellingsen, Pllc | |
15881 Ne 85th St Unit 160 Redmond WA 98052-3889 | |
(425) 883-3353 | |
Not Available |
Full Name | Ronald H. Ellingsen, Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 15881 Ne 85th St Unit 160, Redmond, Washington |
Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF CRED AND PROV REL) |
Authorized Official Contact | 5046380303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ronald H. Ellingsen, Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0758 | Ronald H. Ellingsen, Pllc 15881 Ne 85th St Unit 160 Redmond WA 98052-3889 Ph: (425) 883-3353 |
NPI Number | 1700626744 |
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Provider Enumeration Date | 05/28/2024 |
Last Update Date | 05/28/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700626744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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