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1790013332
RICHARD C ELLINGSEN
SPOKANE VALLEY, WA
NPI
1790013332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WA DE00006352)
Enumeration Date
2009-11-19
Last Update Date
2009-11-19
Business Address
Dr. RICHARD C ELLINGSEN
12109 E BROADWAY AVE STE B
SPOKANE VALLEY, WA 99206-6133
Phone number: 509-926-0570
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Mailing Address
Dr. RICHARD C ELLINGSEN
12109 E BROADWAY AVE STE B
SPOKANE VALLEY, WA 99206-6133
Phone number: 509-926-0570
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