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MR. JOHN CHARLES EBINGER DDS MSD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1396802211

Individual Registrant:
MR. JOHN CHARLES EBINGER DDS MSD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5739 3RD AVE  FERNDALE, WA 98248 US
Tel: 360-384-3713  Fax: 360-384-3713

Contact information for business:
PO BOX 219 5739 3RD AVE FERNDALE, WA 98248 US
Tel: 360-384-3713  Fax: 360-384-3713

Registration Information:
NPI: 1396802211
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
WA4611

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
OSHS5021407WA01
UNITED CONCORDIA48704801




HEALTH CARE JOBS WA - Page 1

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