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Individual

OBED RABSARIS GALLA PIMENTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5017 W MAIN ST, KALAMAZOO, MI 49009-1001
(269) 350-2146
Mailing address
8707 MEADOWLARK LN, BERRIEN SPRINGS, MI 49103-1450
(269) 235-4753

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
109998
CA
122300000X
Dentist
12013931A
IN
122300000X
Dentist
Primary
2901601633
MI

Other

Enumeration date
09/08/2022
Last updated
02/08/2025
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