Yosemite Dental Care, LLC

NPI #1316478779 in Mariposa, California

Provider Information

NPI Number: 1316478779
Entity Type: Organization
Organization Name: Yosemite Dental Care, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 27, 2017
Last Updated: Mar 27, 2017

Practice Location

Address: 5371 STATE HIGHWAY 49 N
City: Mariposa
State: California
ZIP Code: 95338-9503
Phone: (209) 742-7788

Authorized Official

Name: DR. TIMOTHY MICHAEL WIEG, D.D.S.
Title: OWNER/CLINICAL DIRECTOR
Phone: (909) 269-1277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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