Individual
JOELY MARIM-EBERHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
27550 STATE HIGHWAY 75 STE 104, ONEONTA, AL 35121-3204
(205) 274-2414
Mailing address
27550 STATE HIGHWAY 75 STE 104, ONEONTA, AL 35121-3204
(205) 274-2414
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5343
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935682
—
AL
Enumeration date
01/23/2007
Last updated
04/13/2012
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