Provider Demographics
NPI:1669803680
Name:WRIGHT, ELINNE (RDH)
Entity type:Individual
Prefix:
First Name:ELINNE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 793
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98046-0793
Mailing Address - Country:US
Mailing Address - Phone:425-343-7510
Mailing Address - Fax:
Practice Address - Street 1:22131 OLD OWEN RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-9625
Practice Address - Country:US
Practice Address - Phone:425-343-7510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-01
Last Update Date:2013-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH00006928124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist