| NPI | 1275352049 |
|---|---|
| Doing Business As | EBELING FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAURA M MARTINEZ AVERSANO President 847-910-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2026-02-09 |