Individual
DAVID C NIEBERGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS INC
Contact information
Practice address
29350 PACIFIC COAST HWY, SUITE 3, MALIBU, CA 90265
(310) 457-9292
(310) 457-4923
Mailing address
29350 PACIFIC COAST HWY, SUITE 3, MALIBU, CA 90265
(310) 457-9292
(310) 457-4923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21928
CA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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