DR. Ellis J Neiburger, DDS

NPI #1306955075 in Waukegan, Illinois

Provider Information

NPI Number: 1306955075
Entity Type: Individual
Name: DR. Ellis J Neiburger, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 NORTH AVE
City: Waukegan
State: Illinois
ZIP Code: 60085-2938
Phone: (847) 244-0292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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