| Tracy Filler, Dmd, Inc. | |
|
1569 Lexann Ave San Jose CA 95121-1794 | |
| (408) 329-8922 | |
| Not Available |
| Full Name | Tracy Filler, Dmd, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1569 Lexann Ave, San Jose, California |
| Authorized Official Name and Position | Tracy Dao Filler (PRESIDENT) |
| Authorized Official Contact | 4083298922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Filler, Dmd, Inc. 3809 De La Cruz Blvd Santa Clara CA 95054-2116 Ph: (408) 329-8922 | Tracy Filler, Dmd, Inc. 1569 Lexann Ave San Jose CA 95121-1794 Ph: (408) 329-8922 |
| NPI Number | 1528628146 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528628146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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