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Organization
TRITON DENTAL, LLC
Active
Organization
TRITON DENTAL, LLC
Active
Other names
Yosemite Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MICHAEL WIEG D.D.S. (CLINICAL DIRECTOR)
(909) 269-1277
Entity
Organization
Contact information
Practice address
49722 ROAD 426, SUITE 104, OAKHURST, CA 93644-9047
(559) 683-4662
Mailing address
PO BOX 219, MARIPOSA, CA 95338-0219
(559) 683-4662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60387
CA
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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