SearchCalifornia1223P0221X

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NPI 1679607790 · on the registry since 2007

Practice

Address
2600 S Tracy Blvd
#160
Tracy, CA 95376
Phone
(510) 910-1041
Organisation at this address
Entabi Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California