Valle Smiles | |
2990 W Grant Line Rd Tracy CA 95304-7901 | |
(209) 830-7797 | |
(916) 384-3844 |
Full Name | Valle Smiles |
---|---|
Speciality | Dentist |
Location | 2990 W Grant Line Rd, Tracy, California |
Authorized Official Name and Position | Yan Kalika (OWNER) |
Authorized Official Contact | 9167021213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Valle Smiles 3075 Beacon Blvd West Sacramento CA 95691-3462 Ph: (916) 702-1213 | Valle Smiles 2990 W Grant Line Rd Tracy CA 95304-7901 Ph: (209) 830-7797 |
NPI Number | 1437634532 |
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Provider Enumeration Date | 09/25/2018 |
Last Update Date | 10/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437634532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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