Individual
DR. KIMBERLY ANN EBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1060 E. GREEN ST., SUITE 105, PASADENA, CA 91106
(626) 796-9246
(626) 564-8395
Mailing address
1060 E. GREEN ST., 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
03/20/2015
Last updated
03/20/2015
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