| Fred Ebsworth DDS PS | |
|
17191 Bothell Way Ne Suite 201 Lake Forest Park WA 98155-5534 | |
| (206) 362-0152 | |
| (206) 365-3441 |
| Full Name | Fred Ebsworth DDS PS |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17191 Bothell Way Ne, Lake Forest Park, Washington |
| Authorized Official Name and Position | Charles F Ebsworth (PRESIDENT) |
| Authorized Official Contact | 2063620152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred Ebsworth DDS PS 17191 Bothell Way Ne Suite 201 Lake Forest Park WA 98155-5534 Ph: (206) 362-0152 | Fred Ebsworth DDS PS 17191 Bothell Way Ne Suite 201 Lake Forest Park WA 98155-5534 Ph: (206) 362-0152 |
| NPI Number | 1104061969 |
|---|---|
| Provider Enumeration Date | 12/09/2008 |
| Last Update Date | 12/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104061969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00004073 (Washington) | Primary |
Nina Svino DDS PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18515 Ballingger Way Ne, Lake Forest Park, WA 98155 Phone: 206-306-0080 Fax: 206-306-0222 |
Allan D. Minahan, DDS, PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17171 Bothell Way Ne, Lake Forest Park, WA 98155 Phone: 206-365-5454 |
Robert R. Uhlmansiek, D.D.S., P.S. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17171 Bothell Way Ne, Lake Forest Park, WA 98155 Phone: 206-365-5454 Fax: 206-362-5587 |