Marino J. Alea Iglesias, Dds, P.c

NPI #1386914125 in Tracy, California

Provider Information

NPI Number: 1386914125
Entity Type: Organization
Organization Name: Marino J. Alea Iglesias, Dds, P.c
Primary Specialty: Dentist
Enumeration Date: Jan 11, 2012
Last Updated: Jan 11, 2012

Practice Location

Address: 2425 NAGLEE RD
City: Tracy
State: California
ZIP Code: 95304-7324
Phone: (209) 833-7392

Authorized Official

Name: MARINO J ALEA IGLESIAS, DDS
Title: PRACTICE OWNER
Phone: (209) 833-7392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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