| NPI | 1861602948 |
|---|---|
| Doing Business As | TRACY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERICK N CUENCA Owner 209-836-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |