Individual
T. J. EBERHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1200 BALD RIDGE MARINA RD, SUITE 100, CUMMING, GA 30041-8494
(770) 888-1490
(770) 888-5811
Mailing address
1200 BALD RIDGE MARINA RD, SUITE 100, CUMMING, GA 30041-8494
(770) 888-1490
(770) 888-5811
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7416
GA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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