Organization
DUSTIN A. EBNER D.D.S. PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN A. EBNER DDS (PRESIDENT)
(303) 424-6421
Entity
Organization
Contact information
Practice address
6605 W 38TH AVE, WHEAT RIDGE, CO 80033-4905
(303) 424-6421
Mailing address
6605 W 38TH AVE, WHEAT RIDGE, CO 80033-4905
(303) 424-6421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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