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Organization

KIMBERLY A EBNER DDS INC

Active
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Organization

KIMBERLY A EBNER DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY ANN EBNER DDS (OWNER)
(626) 796-9246
Entity
Organization

Contact information

Practice address
1060 E GREEN STREET, SUITE 105, PASADENA, CA 91106
(626) 796-9246
(626) 564-8395
Mailing address
1060 E GREEN STREET, SUITE 105, PASADENA, CA 91106
(626) 796-9246
(626) 564-8395

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D37328
CA

Other

Enumeration date
12/16/2005
Last updated
10/25/2007
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