Individual provider · Type 1 NPI
Tracy S. Park, DDS
General Practice Dentistry · Ceres, CA
NPI number
1073615084
Active
Practice location
2760 3rd Street, Suite A
Ceres, CA 95307
Fax (209) 537-4437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 41769 (CA) |
General Practice Dentistry: 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.
Another provider at this address
Other general practice dentistry providers in Ceres
- Apolinar Madrigal, DDSGeneral Practice Dentistry Ceres, CA NPI 1083123939
- Pawanjeet Singh PannuGeneral Practice Dentistry Ceres, CA NPI 1396052759
- Alan Salvador Hernandez Lara, DDSGeneral Practice Dentistry Ceres, CA NPI 1609452762
- Bruce Neal Young, DDSGeneral Practice Dentistry Ceres, CA NPI 1689871675
- Robert Stout, DMDGeneral Practice Dentistry Ceres, CA NPI 1699413351
- Elizabeth Reynoso Valdez, DDSGeneral Practice Dentistry Ceres, CA NPI 1790346658
About NPI 1073615084
Tracy S. Park, DDS's National Provider Identifier is 1073615084, issued on Sep 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Ceres, CA. The record was last updated on Jul 8, 2007.