Provider / Organization | NPI | Date Certified |
---|---|---|
DUSTIN A. EBNER D.D.S. PROFESSIONAL CORPORATION | 1396496881 | 2022-01-16 |
The organization Dustin A. Ebner D.d.s. Professional Corporation is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1396496881. Registration indicates Dustin A. Ebner D.d.s. Professional Corporation is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Dental, ) (Clinic/Center Dental, Ambulatory Health Care Facilities) (Clinic/Center, )
Code | Practice | License No State |
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261QD0000X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Dental Clinic/Center Dental Ambulatory Health Care Facilities Clinic/Center |