Fred Ebsworth DDS Ps
Fred Ebsworth DDS Ps is a Dental Clinic/Center in Lake Forest Park, Washington. Licensed in Washington. Registered with an NPI since 2008.
- Licensed in
- WA
- In the registry since
- 2008
Practice location Address checks out
17191 Bothell Way NE Ste 201Lake Forest Park, WA 98155-5534
Phone: (206) 362-0152
Fax: (206) 365-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence DE00004073 (WA) |
|---|
Record details
| NPI number | 1104061969 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Ebsworth — President · (206) 362-0152 |
| NPI enumerated | December 9, 2008 |
| Last updated in NPPES | December 9, 2008 |
| Mailing address | 17191 Bothell Way Ne, Suite 201, Lake Forest Park, WA 98155-5534 |
Other providers in Lake Forest Park
-
Robert R. Uhlmansiek, DDS, P.s.
17171 Bothell Way NE, Lake Forest Park, WA 98155-5534 · (206) 365-5454