Individual
SARAH ANN EBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 LILLY RD NE STE 204, OLYMPIA, WA 98506-5101
(136) 049-3404
Mailing address
11 LILLIAN RIDGE CT, SEQUIM, WA 98382-6658
(509) 552-3015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61562710
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
04/18/2023
Last updated
05/30/2024
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