IKECHUKWU P. EBO

LAWRENCEVILLE, GA
NPI1093880288
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: GA  Dn013673)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: NC  7427)
Enumeration Date2006-11-22
Last Update Date2011-07-01
Business Address
Dr. IKECHUKWU P. EBO D.D.S., P.A.
650 GWINNETT DR
LAWRENCEVILLE, GA 30046-7439
Phone number: 770-963-5999
Mailing Address
Dr. IKECHUKWU P. EBO D.D.S., P.A.
650 GWINNETT DR.
LAWRENCEVILLE, GA 30045
Phone number: 770-963-5999