| Kimberly a Ebner DDS Inc | |
|
1060 E Green Street Suite 105 Pasadena CA 91106 | |
| (626) 796-9246 | |
| (626) 564-8395 |
| Full Name | Kimberly a Ebner DDS Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1060 E Green Street, Pasadena, California |
| Authorized Official Name and Position | Kimberly Ann Ebner (OWNER) |
| Authorized Official Contact | 6267969246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly a Ebner DDS Inc 1060 E Green Street Suite 105 Pasadena CA 91106 Ph: (626) 796-9246 | Kimberly a Ebner DDS Inc 1060 E Green Street Suite 105 Pasadena CA 91106 Ph: (626) 796-9246 |
| NPI Number | 1801872395 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 10/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801872395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D37328 (California) | Primary |
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