# ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164942645
- **Authorized official:** MRS. JILL BALDWIN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (209) 823-9371

## Contact information

- **Practice address:** 620 W EATON AVE, TRACY, CA 95376-3361
- **Practice address phone:** (209) 823-9371
- **Practice address fax:** (209) 823-8374
- **Mailing address:** 620 W EATON AVE, TRACY, CA 95376-3361
- **Mailing address phone:** (209) 823-9371
- **Mailing address fax:** (209) 823-8374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 51526 | CA | Yes |

## Other

- **Enumeration date:** 06/26/2017
- **Last updated:** 07/21/2022