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Individual

KIMBERLY DAWN THIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1408 LIVE OAK BLVD, SUITE E, YUBA CITY, CA 95991-2970
(530) 755-0571
Mailing address
1408 LIVE OAK BLVD, SUITE E, YUBA CITY, CA 95991-2970
(530) 755-0571

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
54960
CA

Other

Enumeration date
07/19/2006
Last updated
01/29/2009
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