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1409 Whitley Avenue Ste C Corcoran CA 93212-2219 | |
| (559) 992-2166 | |
| (559) 992-3363 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1409 Whitley Avenue Ste C, Corcoran, California |
| Authorized Official Name and Position | Julia J Valle (CEO) |
| Authorized Official Contact | 5598625547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1409 Whitley Avenue Ste C Corcoran CA 93212-2219 Ph: (559) 992-2166 | 1409 Whitley Avenue Ste C Corcoran CA 93212-2219 Ph: (559) 992-2166 |
| NPI Number | 1114576295 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 06/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114576295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Gene Woo Kim Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 Whitley Ave, #c, Corcoran, CA 93212 Phone: 559-992-2166 |