Individual
DR. MICHAEL C EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
103 E HAZEL AVE, BURLINGTON, WA 98233-1119
(360) 755-0057
Mailing address
103 E HAZEL AVE, BURLINGTON, WA 98233-1119
(360) 755-0057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6277
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5008743
—
WA
01
—
76341
DEPT OF LABOR & INDUSTRIE
WA
01
—
840810
UNITED CONCORDIA
WA
Enumeration date
04/24/2007
Last updated
07/09/2007
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