Individual
DR. DONALD W. EBLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1015 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8010
(812) 437-1015
(812) 401-1013
Mailing address
1015 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8010
(812) 437-1015
(812) 401-1013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009288A
IN
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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