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
- State
- California
- 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 - Dental — Dental |
| Dentist |
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