Individual
CYNTHIA L EBENHOCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 750, WAUWATOSA, WI 53226-1309
(414) 257-3366
(414) 258-1390
Mailing address
W224N2544 RIDGEWOOD LN, WAUKESHA, WI 53186-1027
(262) 446-0793
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5807015
WI
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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