| Pediatric Dentistry Of Tracy | |
|
2160 W Grant Line Rd Ste 150 Tracy CA 95377-7332 | |
| (209) 832-7906 | |
| (209) 833-1382 |
| Full Name | Pediatric Dentistry Of Tracy |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2160 W Grant Line Rd Ste 150, Tracy, California |
| Authorized Official Name and Position | Joshua Solomon (PRESIDENT) |
| Authorized Official Contact | 2098327906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Tracy 2160 W Grant Line Rd Ste 150 Tracy CA 95377-7332 Ph: (209) 832-7906 | Pediatric Dentistry Of Tracy 2160 W Grant Line Rd Ste 150 Tracy CA 95377-7332 Ph: (209) 832-7906 |
| NPI Number | 1376098848 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 11/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376098848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 48998 (California) | Primary |
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