| NPI | 1528628146 |
|---|---|
| Doing Business As | TOOTHFILLERS DENTAL PRACTICE OF TRACY FILLER, DMD, INC. |
| Entity Type | Organization |
| Authorized Contact | TRACY DAO FILLER President 408-329-8922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |