Tracy Dental Excellence, Chase Dental Group, Inc.

NPI #1770934226 in Tracy, California

Provider Information

NPI Number: 1770934226
Entity Type: Organization
Organization Name: Tracy Dental Excellence, Chase Dental Group, Inc.
Primary Specialty: Dentist
Enumeration Date: Jun 27, 2016
Last Updated: Jun 27, 2016

Practice Location

Address: 2858 WEST GRANTLINE RD
City: Tracy
State: California
ZIP Code: 95304
Phone: (925) 699-3131

Authorized Official

Name: RANDOLPH TAYLOR
Title: AGENT
Phone: (909) 967-3442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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