| NPI | 1811061641 |
|---|---|
| Doing Business As | TRACY CENTER FOR DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATHERINE DEJILLO SANCHEZ Dentist President 209-221-8838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 45185) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |