Individual
MR. JOHN CHARLES EBINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
5739 3RD AVE, FERNDALE, WA 98248
(360) 384-3713
(360) 384-3713
Mailing address
PO BOX 219, 5739 3RD AVE, FERNDALE, WA 98248
(360) 384-3713
(360) 384-3713
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4611
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
487048
UNITED CONCORDIA
—
01
—
5021407
OSHS
WA
Enumeration date
01/02/2007
Last updated
07/08/2007
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