| Lemoore Dental Group | |
|
353 C St Lemoore CA 93245-2931 | |
| (559) 924-7000 | |
| (559) 924-6351 |
| Full Name | Lemoore Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 353 C St, Lemoore, California |
| Authorized Official Name and Position | Karmell Rafisolyman (PRESIDENT) |
| Authorized Official Contact | 5599247000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemoore Dental Group 353 C St Lemoore CA 93245-2931 Ph: (559) 924-7000 | Lemoore Dental Group 353 C St Lemoore CA 93245-2931 Ph: (559) 924-7000 |
| NPI Number | 1699831669 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699831669 | NPI | - | NPPES |
| 47997 | Other | CA | DELTA DENTAL |
| G92364-01 | Medicaid | CA | |
| 1355602 | Other | CA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47997 (California) | Primary |
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