| Anukaran Samra Dds Inc | |
|
612 W 11th St Ste 201 Tracy CA 95376-3859 | |
| (209) 835-8408 | |
| Not Available |
| Full Name | Anukaran Samra Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 612 W 11th St Ste 201, Tracy, California |
| Authorized Official Name and Position | Anukaran Samra (OWNER) |
| Authorized Official Contact | 5105796844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anukaran Samra Dds Inc 778 Channel Dr Lathrop CA 95330 Ph: (510) 579-6844 | Anukaran Samra Dds Inc 612 W 11th St Ste 201 Tracy CA 95376-3859 Ph: (209) 835-8408 |
| NPI Number | 1053161844 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053161844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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