MR. Charles Fredrick Ebsworth, D.D.S.
NPI #1023071149 in Lake Forest Park, Washington
Provider Information
- NPI Number
- 1023071149
- Entity Type
- Individual
- Name
- MR. Charles Fredrick Ebsworth, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17191 BOTHELL WAY NE
- Address 2
- SUITE 201
- City
- Lake Forest Park
- State
- Washington
- ZIP Code
- 98155-5534
- Phone
- (206) 362-0152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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