Organization
KIMMER E. YOUNG D.D.S. DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMMER E YOUNG (OWNER)
(559) 673-4075
Entity
Organization
Contact information
Practice address
2401 W CLEVELAND AVE, MADERA, CA 93637-3608
(559) 673-4075
Mailing address
2401 W CLEVELAND AVE, MADERA, CA 93637-3608
(559) 970-6188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/13/2018
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