Individual
DR. CHARLES KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
522 N MAGNOLIA AVE, ANAHEIM, CA 92801-4937
(714) 828-1415
Mailing address
522 N MAGNOLIA AVE, ANAHEIM, CA 92801-4937
(714) 828-1415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47494
CA
Other
Enumeration date
12/08/2006
Last updated
02/26/2010
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