Community Dental Services

NPI #1164594842 in Tracy, California

Provider Information

NPI Number: 1164594842
Entity Type: Organization
Organization Name: Community Dental Services
Primary Specialty: Dentist
Enumeration Date: Nov 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2990 W GRANT LINE RD
City: Tracy
State: California
ZIP Code: 95304-7901
Phone: (209) 830-7797

Authorized Official

Name: MRS. ELAINE SALCIDO
Title: CONTRACT SUPERVISOR
Phone: (714) 708-5308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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