Individual
DR. BRIAN D EBERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3650 N MAIN ST, MISHAWAKA, IN 46545-3114
(574) 258-4344
Mailing address
3650 N MAIN ST, MISHAWAKA, IN 46545-3114
(574) 258-4344
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8569
IN
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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