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Individual
DR. FRANK JOHN REPANICH
Active
Individual
DR. FRANK JOHN REPANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5098009
—
WA
01
—
5672WA
DELTA DENTAL PROVIDER NUM
WA
01
—
848596
UNITED CONCORDIA PROVIDER
WA
Enumeration date
02/01/2007
Last updated
03/07/2023
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