Eric Ebuen, DMD Valid NPI

Individual provider · Dentist · Lakeland, FL

NPI

1851413991

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DN 15138 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2007-04-06

Last updated

2007-07-08