# KIMBERLY A EBNER DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801872395
- **Authorized official:** DR. KIMBERLY ANN EBNER DDS (OWNER)
- **Authorized official phone:** (626) 796-9246

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 10/25/2007