| West Valley Dental | |
|
2160 W Grant Line Rd Ste 245 Tracy CA 95377-7335 | |
| (209) 834-0572 | |
| (209) 834-0582 |
| Full Name | West Valley Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2160 W Grant Line Rd Ste 245, Tracy, California |
| Authorized Official Name and Position | Phach N Nguyen (OFFICE MANAGER) |
| Authorized Official Contact | 2095749600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Dental 2160 W Grant Line Rd Ste 245 Tracy CA 95377-7335 Ph: (209) 834-0572 | West Valley Dental 2160 W Grant Line Rd Ste 245 Tracy CA 95377-7335 Ph: (209) 834-0572 |
| NPI Number | 1700919370 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700919370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45725 (California) | Primary |
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