Ikechukwu P. Ebo D.D.S., P.A.

NPI 1093880288 - Dentist - 1223G0001X

NPI Details
NPI 1093880288
Gender Male
Enumeration Date 11/22/2006
Last Updated 07/01/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
650 GWINNETT DR
LAWRENCEVILLE GA, 30046-7439, US
Phone (770) 963-5999
Fax (770) 963-6603
Business Location
650 GWINNETT DR.
LAWRENCEVILLE GA, 30045, US
Phone (770) 963-5999
Fax (770) 963-6603
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 7427
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According to our database, Dr. Ikechukwu P. Ebo D.D.S., P.A. NPI is 1093880288, taxonomy code is 1223G0001X and license number is 7427, license state is located at North Carolina. Ikechukwu P. Ebo D.D.S., P.A. physically located at 650 Gwinnett Dr, Lawrenceville GA, 30046-7439. NPI Number Ikechukwu P. Ebo D.D.S., P.A. has the Individual type.

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1093880288 NPI number is provided on an as is basis without warranty of any kind. 1093880288 is maintained by the National Plan & Provider Enumeration System. The contents of Ikechukwu P. Ebo D.D.S., P.A. are for informational purposes only.