Organization
MICHAEL C. EUBANKS D.M.D. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C EUBANKS (DOCTOR)
(360) 755-0057
Entity
Organization
Contact information
Practice address
103 EAST HAZEL AVENUE, BURLINGTON, WA 98233
(360) 755-0057
Mailing address
103 EAST HAZEL AVENUE, BURLINGTON, WA 98233
(360) 755-0057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5008743
—
WA
01
—
76341
DEPT OF LABOR&INDUSTRIES
WA
01
—
840810
UNITED CONCORDIA
WA
Enumeration date
05/03/2007
Last updated
08/22/2020
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