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2805 Naglee Rd Ste 150 Tracy CA 95304-7339 | |
| (916) 444-5437 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2805 Naglee Rd Ste 150, Tracy, California |
| Authorized Official Name and Position | Derek Boyes (COO) |
| Authorized Official Contact | 9165701500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3100 Zinfandel Dr Ste 400 Rancho Cordova CA 95670-6391 Ph: () - | 2805 Naglee Rd Ste 150 Tracy CA 95304-7339 Ph: (916) 444-5437 |
| NPI Number | 1639568280 |
|---|---|
| Provider Enumeration Date | 01/21/2015 |
| Last Update Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639568280 | NPI | - | NPPES |
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