Individual
DR. CHARLES BRYAN EBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2 COLGATE DR, SUITE 101, FOREST HILL, MD 21050-2624
(410) 838-6630
(410) 838-2616
Mailing address
2 COLGATE DR, SUITE 101, FOREST HILL, MD 21050-2624
(410) 838-6630
(410) 838-2616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
09735
MD
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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