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Individual

DR. BENJAMIN R NOBLITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
515 HWY 9 STE 102, LAKE STEVENS, WA 98258-8523
(425) 293-1372
Mailing address
7718 19TH PL SE, LAKE STEVENS, WA 98258-3212
(425) 293-1372

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
61064600
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OH

Other

Enumeration date
05/16/2016
Last updated
03/27/2026
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