| Tracy Orchard Dental Care | |
|
2231 W Grant Line Rd Ste 134 Tracy CA 95377-7325 | |
| (209) 227-2579 | |
| Not Available |
| Full Name | Tracy Orchard Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2231 W Grant Line Rd Ste 134, Tracy, California |
| Authorized Official Name and Position | Lindsay Bearden (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Orchard Dental Care 2231 W Grant Line Rd Ste 134 Tracy CA 95377-7325 Ph: (209) 227-2579 | Tracy Orchard Dental Care 2231 W Grant Line Rd Ste 134 Tracy CA 95377-7325 Ph: (209) 227-2579 |
| NPI Number | 1255738787 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 11/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255738787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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