NPI | 1326359944 |
---|---|
Doing Business As | TRACY SMILES MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | KHALED ENTABI Owner Doctor 209-836-5441 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-06-29 |
Last Update Date | 2013-08-22 |