Individual
DR. BEN WILDER EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4220 PHELAN ROAD, PHELAN, CA 92371
(760) 868-2786
(760) 868-5783
Mailing address
4220 PHELAN ROAD, PHELAN, CA 92371
(760) 868-2786
(760) 868-5783
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26164
CA
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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