DR. Tracy S Park, DDS
NPI #1073615084 in Ceres, California
Provider Information
- NPI Number
- 1073615084
- Entity Type
- Individual
- Name
- DR. Tracy S Park, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2760 3RD STREET
- Address 2
- SUITE A
- City
- Ceres
- State
- California
- ZIP Code
- 95307
- Phone
- (209) 537-4427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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