| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 456 W D St, Lemoore, California |
| Authorized Official Name and Position | Amy Coeler (OWNER) |
| Authorized Official Contact | 5599249716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
456 W D St Lemoore CA 93245-2612 Ph: (559) 924-9716 | 456 W D St Lemoore CA 93245-2612 Ph: (559) 924-9716 |
| NPI Number | 1811438708 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811438708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38269 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Jun S Kim Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 N Lemoore Ave, Lemoore, CA 93245 Phone: 559-817-4080 Fax: 559-817-4081 | |