Individual
DR. RANDY JAMES EBERLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D. M. D.
Contact information
Practice address
801 W LITTLE CREEK RD, SUITE 101, NORFOLK, VA 23505-2036
(757) 423-3029
Mailing address
801 W LITTLE CREEK RD, SUITE 101, NORFOLK, VA 23505-2036
(757) 423-3029
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401007838
VA
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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