| Smilecare Dental Group | |
|
2990 W Grant Line Rd Tracy CA 95304-7901 | |
| (209) 830-7797 | |
| (209) 830-6842 |
| Full Name | Smilecare Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 2990 W Grant Line Rd, Tracy, California |
| Authorized Official Name and Position | Elaine Salcido (CONTRACT SUPERVISOR) |
| Authorized Official Contact | 7147085308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilecare Dental Group 2 Macarthur Pl Suite 700 Santa Ana CA 92707-5924 Ph: (714) 708-5308 | Smilecare Dental Group 2990 W Grant Line Rd Tracy CA 95304-7901 Ph: (209) 830-7797 |
| NPI Number | 1164594842 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164594842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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