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ROBERT A EBERT DDS

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Company Details

Name: ROBERT A EBERT DDS
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 30 Mar 2012 (13 years ago)
Entity Number: 469568
Place of Formation: IDAHO
File Number: 0000469568
ZIP code: 83814
County: Kootenai County
Mailing Address: 1141 S LAKEVIEW HTS COEUR D'ALENE, ID 83814

National Provider Identifier

NPI Number:
1467684175

Authorized Person:

Name:
DR. ROBERT A EBERT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000469568 2012-03-30

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State