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Organization
DUSTIN A. EBNER D.D.S. PROFESSIONAL CORPORATION
Active
Organization
DUSTIN A. EBNER D.D.S. PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN A. EBNER DDS (PRESIDENT)
(303) 424-6421
Entity
Organization
Contact information
Practice address
6605 W 38TH AVE, WHEAT RIDGE, CO 80033-4905
(303) 424-6421
Mailing address
6605 W 38TH AVE, WHEAT RIDGE, CO 80033-4905
(303) 424-6421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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