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Organization
JIM YU, D.D.S. PROFESSIONAL DENTAL CORPORATION
Active
Organization
JIM YU, D.D.S. PROFESSIONAL DENTAL CORPORATION
Active
Parent organization
JIM YU, D.D.S. PROFESSIONAL DENTAL CORPORATION
Other names
Tracy Orchard Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
JIM YU, D.D.S. PROFESSIONAL DENTAL CORPORATION
Authorized official
LINDSAY BEARDEN (CREDENTIALING COORDINATOR)
(217) 540-5699
Entity
Organization
Contact information
Practice address
2231 W GRANT LINE RD STE 134, TRACY, CA 95377-7325
(209) 227-2579
Mailing address
2231 W GRANT LINE RD STE 134, TRACY, CA 95377-7325
(209) 227-2579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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