| Walia Dental Corporation | |
|
3101 N Tracy Blvd Tracy CA 95376-1717 | |
| (408) 643-5757 | |
| Not Available |
| Full Name | Walia Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3101 N Tracy Blvd, Tracy, California |
| Authorized Official Name and Position | Sumanpreet K Walia (OWNER DENTIST) |
| Authorized Official Contact | 4086435757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walia Dental Corporation 3101 N Tracy Blvd Tracy CA 95376-1717 Ph: (408) 643-5757 | Walia Dental Corporation 3101 N Tracy Blvd Tracy CA 95376-1717 Ph: (408) 643-5757 |
| NPI Number | 1316515182 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316515182 | NPI | - | NPPES |
| 58823 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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