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Organization

EBBEN & PYNENBERG DDS SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CHARLES EBBEN DDS (PRESIDENT)
(920) 788-3542
Entity
Organization

Contact information

Practice address
607 WILSON ST, LITTLE CHUTE, WI 54140
(920) 788-3542
(920) 788-6741
Mailing address
607 WILSON ST, LITTLE CHUTE, WI 54140
(920) 788-3542
(920) 788-6741

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2739
WI
122300000X
Dentist
4142
WI

Other

Enumeration date
03/01/2007
Last updated
08/22/2020
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