| Marino J. Alea Iglesias, Dds, P.c | |
|
2425 Naglee Rd Tracy CA 95304-7324 | |
| (209) 833-7392 | |
| Not Available |
| Full Name | Marino J. Alea Iglesias, Dds, P.c |
|---|---|
| Speciality | Dentist |
| Location | 2425 Naglee Rd, Tracy, California |
| Authorized Official Name and Position | Marino J Alea Iglesias (PRACTICE OWNER) |
| Authorized Official Contact | 2098337392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marino J. Alea Iglesias, Dds, P.c 2425 Naglee Rd Tracy CA 95304-7324 Ph: (209) 833-7392 | Marino J. Alea Iglesias, Dds, P.c 2425 Naglee Rd Tracy CA 95304-7324 Ph: (209) 833-7392 |
| NPI Number | 1386914125 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386914125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60649 (California) | Primary |
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