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Organization

FOREST HILL FAMILY & COSMETIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES BRYAN EBNER DDS (OWNER PRESIDENT)
(410) 838-6630
Entity
Organization

Contact information

Practice address
2 COLGATE DR, SUITE 101, FOREST HILL, MD 21050-2652
(410) 838-6630
(410) 838-2616
Mailing address
2 COLGATE DR, SUITE 101, FOREST HILL, MD 21050-2652
(410) 838-6630
(410) 838-2616

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09735
MD

Other

Enumeration date
04/10/2006
Last updated
01/06/2014
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