| Tracy Dental | |
|
2135 N Tracy Blvd Tracy CA 95376-2424 | |
| (209) 836-4950 | |
| Not Available |
| Full Name | Tracy Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2135 N Tracy Blvd, Tracy, California |
| Authorized Official Name and Position | Erick N Cuenca (OWNER) |
| Authorized Official Contact | 2098364950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Dental 2135 N Tracy Blvd Tracy CA 95376-2424 Ph: (209) 836-4950 | Tracy Dental 2135 N Tracy Blvd Tracy CA 95376-2424 Ph: (209) 836-4950 |
| NPI Number | 1861602948 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861602948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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