| John C. Trueb, Dds, Inc. | |
|
165 Saint Dominics Dr Ste 100 Manteca CA 95337-7802 | |
| (209) 823-3574 | |
| (209) 239-4378 |
| Full Name | John C. Trueb, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 165 Saint Dominics Dr Ste 100, Manteca, California |
| Authorized Official Name and Position | John Charles Trueb (OWNER) |
| Authorized Official Contact | 2098233574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C. Trueb, Dds, Inc. 165 Saint Dominics Dr Ste 100 Manteca CA 95337-7802 Ph: (209) 823-3574 | John C. Trueb, Dds, Inc. 165 Saint Dominics Dr Ste 100 Manteca CA 95337-7802 Ph: (209) 823-3574 |
| NPI Number | 1053964072 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053964072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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