| 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 |