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3246 W Grant Line Rd Tracy CA 95304-8427 | |
| (209) 213-7808 | |
| (209) 213-7812 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3246 W Grant Line Rd, Tracy, California |
| Authorized Official Name and Position | Raman Singh (PRESIDENT) |
| Authorized Official Contact | 2092137808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3246 W Grant Line Rd Tracy CA 95304-8427 Ph: (209) 213-7808 | 3246 W Grant Line Rd Tracy CA 95304-8427 Ph: (209) 213-7808 |
| NPI Number | 1710418538 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710418538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 58238 (California) | Primary |
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