| Tracy Center For Dentistry | |
|
2643 Naglee Rd Tracy CA 95304 | |
| (209) 221-8838 | |
| (209) 221-8844 |
| Full Name | Tracy Center For Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2643 Naglee Rd, Tracy, California |
| Authorized Official Name and Position | Katherine Dejillo Sanchez (DENTIST PRESIDENT) |
| Authorized Official Contact | 2092218838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Center For Dentistry 2643 Naglee Rd Tracy CA 95304 Ph: (209) 221-8838 | Tracy Center For Dentistry 2643 Naglee Rd Tracy CA 95304 Ph: (209) 221-8838 |
| NPI Number | 1811061641 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811061641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45185 (California) | Primary |
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