Entabi Dental Corporation
NPI #1326359944 in Tracy, California
Provider Information
- NPI Number
- 1326359944
- Entity Type
- Organization
- Organization Name
- Entabi Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 29, 2010
- Last Updated
- Aug 22, 2013
Practice Location
- Address
- 2600 S TRACY BLVD
- Address 2
- SUITE 170
- City
- Tracy
- State
- California
- ZIP Code
- 95376-9103
- Phone
- (209) 836-5441
Authorized Official
- Name
- KHALED ENTABI, DDS
- Title
- OWNER DOCTOR
- Phone
- (209) 836-5441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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