| Michael C. Eubanks D.M.D. P.S. | |
|
103 East Hazel Avenue Burlington WA 98233 | |
| (360) 755-0057 | |
| Not Available |
| Full Name | Michael C. Eubanks D.M.D. P.S. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 103 East Hazel Avenue, Burlington, Washington |
| Authorized Official Name and Position | Michael C Eubanks (DOCTOR) |
| Authorized Official Contact | 3607550057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C. Eubanks D.M.D. P.S. 103 East Hazel Avenue Burlington WA 98233 Ph: (360) 755-0057 | Michael C. Eubanks D.M.D. P.S. 103 East Hazel Avenue Burlington WA 98233 Ph: (360) 755-0057 |
| NPI Number | 1346452463 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346452463 | NPI | - | NPPES |
| 5008743 | Medicaid | WA | |
| 76341 | Other | WA | DEPT OF LABOR&INDUSTRIES |
| 840810 | Other | WA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6277 (Washington) | Primary |
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