Individual
DR. JOHN J EBELING II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1360 S 5TH ST, SUITE 214, SAINT CHARLES, MO 63301-2449
(636) 946-6747
(636) 946-7629
Mailing address
1360 S 5TH ST, SUITE 214, SAINT CHARLES, MO 63301-2449
(636) 946-6747
(636) 946-7629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13948
MO
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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