| Kimberly Quan Hubenette,dds, Inc | |
|
5807 Owl Hill Ave Santa Rosa CA 95409-4341 | |
| (619) 995-9234 | |
| (707) 537-9007 |
| Full Name | Kimberly Quan Hubenette,dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5807 Owl Hill Ave, Santa Rosa, California |
| Authorized Official Name and Position | Kimberly Quan Hubenette (PRESIDENT) |
| Authorized Official Contact | 6199959234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Quan Hubenette,dds, Inc 5807 Owl Hill Ave Santa Rosa CA 95409-4341 Ph: (619) 995-9234 | Kimberly Quan Hubenette,dds, Inc 5807 Owl Hill Ave Santa Rosa CA 95409-4341 Ph: (619) 995-9234 |
| NPI Number | 1528263977 |
|---|---|
| Provider Enumeration Date | 06/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528263977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41522 (California) | Primary |
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