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Individual

DR. DAVID MICHAEL EBERHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
44710 VAN DYKE AVE, UTICA, MI 48317-5481
(586) 739-0550
Mailing address
25901 WOODWARD AVE APT 103, ROYAL OAK, MI 48067-0951
(313) 418-0699

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901020606
MI
122300000X
Dentist
Primary
30-023472
OH

Other

Enumeration date
06/28/2011
Last updated
03/21/2012
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