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Organization

KINBERLY ANTRIM DDS DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KINBERLY ANTRIM D.D.S. (PRESIDENT)
(408) 375-2155
Entity
Organization

Contact information

Practice address
7880 WREN AVE, SUITE A-113, GILROY, CA 95020-4943
(408) 375-2155
Mailing address
7880 WREN AVE, SUITE A-113, GILROY, CA 95020-4943
(408) 375-2155

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
59694
CA

Other

Enumeration date
06/23/2016
Last updated
06/23/2016
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