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210 Heinlen St Lemoore CA 93245-2947 | |
(559) 924-5353 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Dental |
Location | 210 Heinlen St, Lemoore, California |
Authorized Official Name and Position | Mehdi Abbasi Jafarinejad (PRESIDENT) |
Authorized Official Contact | 9497354447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5618 W Elowin Dr Visalia CA 93291-8917 Ph: (949) 735-4447 | 210 Heinlen St Lemoore CA 93245-2947 Ph: (559) 924-5353 |
NPI Number | 1679020309 |
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Provider Enumeration Date | 09/11/2016 |
Last Update Date | 09/11/2016 |
Identifier | Type | State | Issuer |
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1679020309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 58791 (California) | 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 | |