| Ellis Dentistry | |
|
3739 Mt Baker Hwy Everson WA 98247-9406 | |
| (360) 592-1100 | |
| (360) 592-5067 |
| Full Name | Ellis Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3739 Mt Baker Hwy, Everson, Washington |
| Authorized Official Name and Position | Randal W Ellis (DENTIST/OWNER) |
| Authorized Official Contact | 3605921100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Dentistry Po Box 608 Deming WA 98244 Ph: (360) 592-1100 | Ellis Dentistry 3739 Mt Baker Hwy Everson WA 98247-9406 Ph: (360) 592-1100 |
| NPI Number | 1326051285 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326051285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00008470 (Washington) | Primary |
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