Individual
DR. ESTHER SEBUM OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
1600 SW ARCHER RD, DEPARTMENT OF ORAL MAXILLOFACIAL SURGERY, GAINESVILLE, FL 32610-0416
(352) 273-6750
(352) 392-7609
Mailing address
1600 SW ARCHER RD, P.O. BOX 100416, GAINESVILLE, FL 32610-0416
(352) 273-6750
(352) 392-7609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DT588
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DT588
FL
208600000X
Surgery Physician
0101248090
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009159000
—
FL
Enumeration date
06/29/2007
Last updated
01/10/2014
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