Gonzales Dental Care | |
851 5th St Ste H Gonzales CA 93926-9437 | |
(831) 240-0865 | |
Not Available |
Full Name | Gonzales Dental Care |
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Speciality | Clinic/center - Dental |
Location | 851 5th St Ste H, Gonzales, California |
Authorized Official Name and Position | Ha Jung Kim (GENERAL DENTIST) |
Authorized Official Contact | 8312400865 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gonzales Dental Care 851 5th St Ste H Gonzales CA 93926-9437 Ph: (831) 240-0865 | Gonzales Dental Care 851 5th St Ste H Gonzales CA 93926-9437 Ph: (831) 240-0865 |
NPI Number | 1427465236 |
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Provider Enumeration Date | 07/14/2014 |
Last Update Date | 07/14/2014 |
Identifier | Type | State | Issuer |
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1427465236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |