| NPI | 1558446278 |
|---|---|
| Doing Business As | ELLINGSEN PAXTON JOHNSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RICHARD C ELLINGSEN President 509-926-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA DE00006352) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA DE00005607) |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WA 60083394) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-11-19 |