institution
Fred Ebsworth Dds Ps
Dental Clinic/Center in Lake Forest Park, Washington
NPI 1104061969

Fred Ebsworth Dds Ps is a Dental Clinic/Center based in Lake Forest Park, WA and is specialized in Dental. Fred Ebsworth Dds Ps practices in Lake Forest Park, WA. The NPI Number for Fred Ebsworth Dds Ps is 1104061969 and holds a License No. DE00004073 (Washington).

The current practice location address for Fred Ebsworth Dds Ps is 17191 Bothell Way Ne, Lake Forest Park, WA and can be reached out via phone at 206-362-0152 and via fax at 206-365-3441. You can also correspond with Fred Ebsworth Dds Ps through the mailing address at 17191 BOTHELL WAY NE, LAKE FOREST PARK, WA - 98155-5534 (mailing address contact number: 206-362-0152).

Location: 17191 Bothell Way Ne, Lake Forest Park, WA, 98155-5534
institution
Provider Profile Details
NPI Number
1104061969
Provider Name
Fred Ebsworth Dds Ps
Credential
Provider Entity Type
Organization
Address
17191 Bothell Way Ne, Lake Forest Park, WA, 98155-5534
Phone Number
206-362-0152
Fax Number
206-365-3441
Provider Enumeration Date
12/09/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17191 Bothell Way Ne
City
State
Zip
98155-5534
Phone Number
206-362-0152
Fax Number
206-365-3441
person
Provider Business Mailing Address Details
Address
17191 Bothell Way Ne
City
State
Zip
98155-5534
Phone Number
206-362-0152
Fax Number
206-365-3441
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DE00004073 (Washington)
Definition
Definition to come...
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