| NPI | 1487357000 |
|---|---|
| Former Name | SYDNEY EBBEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SD D1399) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SD D1399) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2025-04-09 |