| Tracy Park D.d.s. A Professional Corporation | |
|
2760 3rd Street Suite A Ceres CA 95307-3220 | |
| (209) 537-4427 | |
| (209) 537-4437 |
| Full Name | Tracy Park D.d.s. A Professional Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2760 3rd Street, Ceres, California |
| Authorized Official Name and Position | Tracy Sun Park (DENTIST/OWNER) |
| Authorized Official Contact | 2095374427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Park D.d.s. A Professional Corporation 2760 3rd Street Suite A Ceres CA 95307-3220 Ph: (209) 537-4427 | Tracy Park D.d.s. A Professional Corporation 2760 3rd Street Suite A Ceres CA 95307-3220 Ph: (209) 537-4427 |
| NPI Number | 1710246798 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710246798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 41769 (California) | Secondary |
K3 Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Central Ave, Ceres, CA 95307 Phone: 209-537-7357 | |
Apolinar Madrigal Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 E Service Rd Ste 101, Ceres, CA 95307 Phone: 209-542-9921 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1524 Richland Ave, Ceres, CA 95307 Phone: 209-538-5938 Fax: 209-538-1009 | |
Magnolia Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2561 3rd St Ste B, Ceres, CA 95307 Phone: 209-538-9297 | |
Sonia Arevalo Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2561 3rd St Ste A, Ceres, CA 95307 Phone: 209-538-9298 | |
Prakash Sojitra Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2531 E Whitmore Ave Ste I, Ceres, CA 95307 Phone: 510-456-6131 |