DR. Vivien Rose Ebert, DMD

NPI #1962230789 in Fairfax, South Carolina

Provider Information

NPI Number
1962230789
Entity Type
Individual
Name
DR. Vivien Rose Ebert, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jul 23, 2024
Last Updated
Aug 19, 2024

Practice Location

Address
1987 ALLENDALE FAIRFAX HWY
ZIP Code
29827
Phone
(803) 632-3301

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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