| Kimmer E. Young D.d.s. Dental Corporation | |
| 
					2401 W Cleveland Ave Madera CA 93637-3608  | |
| (559) 673-4075 | |
| Not Available | 
| Full Name | Kimmer E. Young D.d.s. Dental Corporation | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 2401 W Cleveland Ave, Madera, California | 
| Authorized Official Name and Position | Kimmer E Young (OWNER) | 
| Authorized Official Contact | 5596734075 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimmer E. Young D.d.s. Dental Corporation 2401 W Cleveland Ave Madera CA 93637-3608 Ph: (559) 970-6188  | Kimmer E. Young D.d.s. Dental Corporation 2401 W Cleveland Ave Madera CA 93637-3608 Ph: (559) 673-4075  | 
| NPI Number | 1306317755 | 
|---|---|
| Provider Enumeration Date | 12/11/2018 | 
| Last Update Date | 12/13/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306317755 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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