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Individual
DR. LUCAS EBAUGH
Active
Individual
DR. LUCAS EBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31271
TX
122300000X
Dentist
DEN.00202252
CO
Other
Enumeration date
07/09/2014
Last updated
01/17/2022
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