| Dr Tracy S Park, DDS | |
|
2760 3rd Street, Suite A, Ceres, CA 95307 | |
| (209) 537-4427 | |
| (209) 537-4437 |
| Full Name | Dr Tracy S Park |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 2760 3rd Street, Ceres, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073615084 | NPI | - | NPPES |
| B4176901 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41769 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracy S Park, DDS 2760 3rd Street, Suite A, Ceres, CA 95307 Ph: (209) 537-4427 | Dr Tracy S Park, DDS 2760 3rd Street, Suite A, Ceres, CA 95307 Ph: (209) 537-4427 |
Dr. Mital Mukesh Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2561 3rd St Ste B, Ceres, CA 95307 Phone: 209-538-9297 | |
Ms. Katherine Anne Kucera, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3507 Morgan Rd, Ceres, CA 95307 Phone: 209-537-4673 | |
Pawanjeet Singh Pannu, Dentist Medicare: Medicare Enrolled Practice Location: 1918 Glen Harbor Dr, Ceres, CA 95307 Phone: 718-594-2282 | |
Pablo Madrigal Walle, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3100 E Service Rd, Ceres, CA 95307 Phone: 209-542-9921 | |
Richard Z Chen, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-541-3001 Fax: 209-538-1096 | |
Dr. Alan Salvador Hernandez Lara, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 E Service Rd Ste 101, Ceres, CA 95307 Phone: 209-542-9921 |