Individual
DR. EUGENE BENJAMIN PESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
317 S ASH ST, MOSES LAKE, WA 98837-1948
(509) 764-5399
(509) 765-4757
Mailing address
317 S ASH ST, MOSES LAKE, WA 98837-1948
(509) 764-5399
(509) 765-4757
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
GA10000334
WA
1223G0001X
General Practice Dentistry
DE00007758
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5024930
—
WA
Enumeration date
04/24/2007
Last updated
02/11/2016
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