| Manteca Dental Care | |
|
1007 S Main St Manteca CA 95337-5703 | |
| (209) 823-9218 | |
| (209) 823-1134 |
| Full Name | Manteca Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 1007 S Main St, Manteca, California |
| Authorized Official Name and Position | Rick Van Tran (PRESIDENT) |
| Authorized Official Contact | 2098239218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manteca Dental Care 1007 S Main St Manteca CA 95337-5703 Ph: (209) 823-9218 | Manteca Dental Care 1007 S Main St Manteca CA 95337-5703 Ph: (209) 823-9218 |
| NPI Number | 1407129331 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 02/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407129331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 53036 (California) | Primary |
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