| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 456 W D St, Lemoore, California |
| Authorized Official Name and Position | Glenn Coeler (OFFICE MANAGER) |
| 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 | 1073775102 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073775102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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 | |