Individual
SARAH ANN EBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 E 3RD AVE, COLVILLE, WA 99114-2905
(509) 935-6004
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61562710
WA
1223G0001X
General Practice Dentistry
DE61562710
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
04/18/2023
Last updated
06/15/2026
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