Isaac Charles Sebourn DDS

NPI 1013264704 - Dentist - 122300000X

NPI Details
NPI 1013264704
Gender Male
Enumeration Date 08/13/2012
Last Updated 10/07/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
5005 N PIEDRAS ST
ATTN: LAURA PORTER-CREDENTIALS
EL PASO TX, 79920-5001, US
Phone (915) 742-5935
Fax (915) 742-7462
Business Location
5005 N PIEDRAS ST
ATTN: LAURA PORTER-CREDENTIALS
EL PASO TX, 79920-5001, US
Phone (915) 742-5935
Fax (915) 742-7462
Toxanomy
Taxonomy Code 122300000X
License State Kentucky
License Number 9191
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According to our database, Dr. Isaac Charles Sebourn DDS NPI is 1013264704, taxonomy code is 122300000X and license number is 9191, license state is located at Kentucky. Isaac Charles Sebourn DDS physically located at 5005 N Piedras St, El Paso TX, 79920-5001. NPI Number Isaac Charles Sebourn DDS has the Individual type.

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1013264704 NPI number is provided on an as is basis without warranty of any kind. 1013264704 is maintained by the National Plan & Provider Enumeration System. The contents of Isaac Charles Sebourn DDS are for informational purposes only.