| Richard S. Lim, Dds, Inc. | |
|
11834 Bryant St Ste 102 Yucaipa CA 92399-3848 | |
| (909) 797-8090 | |
| (909) 918-0595 |
| Full Name | Richard S. Lim, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 11834 Bryant St Ste 102, Yucaipa, California |
| Authorized Official Name and Position | Richard S. Lim (OWNER CEO) |
| Authorized Official Contact | 9097978090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S. Lim, Dds, Inc. 11834 Bryant St Ste 102 Yucaipa CA 92399-3848 Ph: (909) 797-8090 | Richard S. Lim, Dds, Inc. 11834 Bryant St Ste 102 Yucaipa CA 92399-3848 Ph: (909) 797-8090 |
| NPI Number | 1497146872 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497146872 | NPI | - | NPPES |
| 1962842575 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 62480 (California) | Primary |
Martinez & Zermeno Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12136 4th St, Yucaipa, CA 92399 Phone: 909-790-4478 Fax: 909-790-4479 | |
Neal A Johnson Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34366 Yucaipa Blvd Ste K, Yucaipa, CA 92399 Phone: 909-754-5659 | |
Mauricio Dossantos Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12033 4th St, Suite 7, Yucaipa, CA 92399 Phone: 909-790-1951 Fax: 909-790-1561 | |
Sae Hwan Chung Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34488 Yucaipa Blvd Ste F, Yucaipa, CA 92399 Phone: 909-797-0303 | |
Jorge Enciso, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34366 Yucaipa Blvd Ste K, Yucaipa, CA 92399 Phone: 909-797-9247 Fax: 909-797-8587 | |
Yucaipa Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34848 Yucaipa Blvd, Suite F, Yucaipa, CA 92399 Phone: 909-797-0303 Fax: 909-797-8714 |