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Dr. Tracy S Park, DDS
General Practice Dentistry in Ceres, California
NPI 1073615084

Tracy S Park is a General Practice Dentistry based in Ceres, CA and is specialized in General Practice. Tracy S Park practices in Ceres, CA and has the professional credentials of DDS. The NPI Number for Tracy S Park is 1073615084 and holds a License No. 41769 (California).

The current practice location address for Tracy S Park is 2760 3Rd Street, Ceres, CA and can be reached out via phone at 209-537-4427 and via fax at 209-537-4437.

Location: 2760 3Rd Street, Ceres, CA, 95307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073615084
Provider Name
Tracy S Park
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2760 3Rd Street, Ceres, CA, 95307
Phone Number
209-537-4427
Fax Number
209-537-4437
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B4176901 01 CA DENTI-CAL
institution
Provider Business Practice Location Address Details
Address
2760 3Rd Street
City
Ceres
State
California
Zip
95307
Phone Number
209-537-4427
Fax Number
209-537-4437
person
Provider Business Mailing Address Details
Address
2760 3Rd Street
City
Ceres
State
California
Zip
95307
Phone Number
209-537-4427
Fax Number
209-537-4437
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
41769 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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