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Organization
KIMBALL DENTAL CORPORATION
Active
Organization
KIMBALL DENTAL CORPORATION
Active
Other names
CHARLES KIMBALL DDS, FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KIMBALL D.D.S. (PRESIDENT/C.E.O.)
(310) 619-1100
Entity
Organization
Contact information
Practice address
522 N MAGNOLIA AVE, ANAHEIM, CA 92801-4937
(714) 828-1415
Mailing address
522 N MAGNOLIA AVE, ANAHEIM, CA 92801-4937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47494
CA
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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