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Organization
TRACY NGO DDS INC
Active
Organization
TRACY NGO DDS INC
Active
Other names
Stevens Creek Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY TRANG NGO D.D.S. (PRESIDENT)
(408) 261-8882
Entity
Organization
Contact information
Practice address
3981 STEVENS CREEK BLVD, SANTA CLARA, CA 95050
(408) 261-8888
(408) 261-8883
Mailing address
704 VILLA CENTRE WAY, SAN JOSE, CA 95128
(408) 835-0489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174607998
GENERAL PRACTICE
CA
Enumeration date
12/11/2006
Last updated
08/22/2020
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