NPI | 1376098848 |
---|---|
Doing Business As | PEDIATRIC DENTISTRY OF TRACY |
Entity Type | Organization |
Authorized Contact | JOSHUA SOLOMON President 209-832-7906 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 48998) |
Enumeration Date | 2016-08-24 |
Last Update Date | 2018-11-12 |