KIMBERLY J. FABRE, DDS, PA
Dentist at Village Green Pkwy, Bradenton, FL

License number
Florida DN14179
Category
Dentist
Type
General Practice
Owner
Name: DR. KIMBERLY JAYE FABRE DDS
Title: PRESIDENT
Phone: (941) 792-0944
Address
Address
501 Village Green Pkwy STE 8, Bradenton, FL 34209
National Provider ID: 1578602645
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIMBERLY J. FABRE, D.D.S., PA

Bradenton, FL  -  Sarasota, FL

Registration:
Jun 4, 2003
Addresses:
8920 9 Ave NW, Bradenton, FL 34209 (Physical)
Sarasota, FL 34276 (Mailing)
PO Box 19319, Sarasota, FL 34276
State ID:
P03000062214
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
Kimberly J Fabre (President, Treasurer, Director, Secretary), 8920 9 Ave NW, Bradenton, FL 34209 (Physical)
Agent:
Catherine Tracy,2058 Constitution Blvd, Sarasota, FL 34231 (Physical)
EIN:
60-0004891

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