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Organization

NORA L. EBIO D.M.D., D.D.S.

Active
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Organization

NORA L. EBIO D.M.D., D.D.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NORA L EBIO D.M.D., D.D.S (OWNER/DENTIST)
(510) 530-6450
Entity
Organization

Contact information

Practice address
1798 EXCELSIOR AVE, OAKLAND, CA 94602-1707
(510) 530-6450
(510) 530-2622
Mailing address
1798 EXCELSIOR AVE, OAKLAND, CA 94602-1707
(510) 530-6450
(510) 530-2622

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26383
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609991975
NPI
CA
01
26383
MEDI CAL
CA
01
512613
PIN
Enumeration date
10/11/2007
Last updated
10/11/2007
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