Tracy Park D.d.s. a Professional Corporation

NPI #1710246798 in Ceres, California

Provider Information

NPI Number
1710246798
Entity Type
Organization
Organization Name
Tracy Park D.d.s. a Professional Corporation
Primary Specialty
Dentist
Enumeration Date
May 10, 2012
Last Updated
Aug 3, 2021

Practice Location

Address
2760 3RD STREET
Address 2
SUITE A
City
Ceres
ZIP Code
95307-3220
Phone
(209) 537-4427

Authorized Official

Name
MRS. TRACY SUN PARK
Title
DENTIST/OWNER
Phone
(209) 537-4427

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental
Dentist

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