Ebben & Pynenberg DDS Sc
NPI #1164550208 in Little Chute, Wisconsin
Provider Information
- NPI Number
- 1164550208
- Entity Type
- Organization
- Organization Name
- Ebben & Pynenberg DDS Sc
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 607 WILSON ST
- City
- Little Chute
- State
- Wisconsin
- ZIP Code
- 54140
- Phone
- (920) 788-3542
Authorized Official
- Name
- MICHAEL CHARLES EBBEN, DDS
- Title
- PRESIDENT
- Phone
- (920) 788-3542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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