| Tracy Ku D.d.s.,inc | |
|
1448 S San Gabriel Blvd San Gabriel CA 91776-3656 | |
| (626) 288-2000 | |
| (626) 288-1402 |
| Full Name | Tracy Ku D.d.s.,inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1448 S San Gabriel Blvd, San Gabriel, California |
| Authorized Official Name and Position | Tracy Ku (PRESIDENT) |
| Authorized Official Contact | 6262882000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Ku D.d.s.,inc 1448 S San Gabriel Blvd San Gabriel CA 91776-3656 Ph: (626) 288-2000 | Tracy Ku D.d.s.,inc 1448 S San Gabriel Blvd San Gabriel CA 91776-3656 Ph: (626) 288-2000 |
| NPI Number | 1932249273 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932249273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 35415 (California) | Primary |
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