| John V.d. Richardson, Dds., Inc | |
|
1409 Whitley Ave Suite D Corcoran CA 93212-2223 | |
| (559) 992-4138 | |
| (559) 992-4079 |
| Full Name | John V.d. Richardson, Dds., Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1409 Whitley Ave, Corcoran, California |
| Authorized Official Name and Position | John Vernon Dale Richardson (PRESIDENT) |
| Authorized Official Contact | 5599924138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John V.d. Richardson, Dds., Inc 1409 Whitley Ave Suite D Corcoran CA 93212-2223 Ph: (559) 992-4138 | John V.d. Richardson, Dds., Inc 1409 Whitley Ave Suite D Corcoran CA 93212-2223 Ph: (559) 992-4138 |
| NPI Number | 1033509435 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033509435 | NPI | - | NPPES |
| 1255480406 | Other | INDIVIDUAL NPI | |
| 1223000000X | Other | TAXONOMY CODE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 39700 (California) | Primary |
Julia J Valle D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 Whitley Avenue Ste C, Corcoran, CA 93212 Phone: 559-992-2166 Fax: 559-992-3363 | |
Nandita Panchal Dds, A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 933 Whitley Ave, Corcoran, CA 93212 Phone: 559-762-7587 Fax: 559-762-7118 | |
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 |