| Tracy Dental Excellence, Chase Dental Group, Inc. | |
|
2858 West Grantline Rd Tracy CA 95304 | |
| (925) 699-3131 | |
| Not Available |
| Full Name | Tracy Dental Excellence, Chase Dental Group, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 2858 West Grantline Rd, Tracy, California |
| Authorized Official Name and Position | Randolph Taylor (AGENT) |
| Authorized Official Contact | 9099673442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Dental Excellence, Chase Dental Group, Inc. 3876 Los Arabis Dr Lafayette CA 94549-2947 Ph: (925) 699-3131 | Tracy Dental Excellence, Chase Dental Group, Inc. 2858 West Grantline Rd Tracy CA 95304 Ph: (925) 699-3131 |
| NPI Number | 1770934226 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770934226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 37319 (California) | Primary |
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