Individual
DR. KELLI ELIZABETH EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
25195 CHAMBER OF COMMERCE DR, BONITA SPRINGS, FL 34135-7895
(239) 947-7481
Mailing address
28485 ALTESSA WAY, #102, BONITA SPRINGS, FL 34135-6976
(239) 287-6473
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22050
FL
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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