| Yosemite Dental Care, Llc | |
|
5371 State Highway 49 N Mariposa CA 95338-9503 | |
| (209) 742-7788 | |
| Not Available |
| Full Name | Yosemite Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 5371 State Highway 49 N, Mariposa, California |
| Authorized Official Name and Position | Timothy Michael Wieg (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9092691277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yosemite Dental Care, Llc Po Box 1209 Mariposa CA 95338-1209 Ph: (209) 742-7788 | Yosemite Dental Care, Llc 5371 State Highway 49 N Mariposa CA 95338-9503 Ph: (209) 742-7788 |
| NPI Number | 1316478779 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316478779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60387 (California) | Primary |