| Ashok N Veeranki Dds Inc A Professional Dental Coorporation | |
|
620 W Eaton Ave Tracy CA 95376-3361 | |
| (209) 823-9371 | |
| (209) 823-8374 |
| Full Name | Ashok N Veeranki Dds Inc A Professional Dental Coorporation |
|---|---|
| Speciality | Dentist |
| Location | 620 W Eaton Ave, Tracy, California |
| Authorized Official Name and Position | Jill Baldwin (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2098239371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashok N Veeranki Dds Inc A Professional Dental Coorporation 620 W Eaton Ave Tracy CA 95376-3361 Ph: (209) 823-9371 | Ashok N Veeranki Dds Inc A Professional Dental Coorporation 620 W Eaton Ave Tracy CA 95376-3361 Ph: (209) 823-9371 |
| NPI Number | 1164942645 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1951672344 |
|---|---|
| Medicare Enrollment ID | O20170803000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164942645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 51526 (California) | Primary |
| Provider Name | Ashok N Veeranki |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922138726 PECOS PAC ID: 3274829460 Enrollment ID: I20170803001003 |
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