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Organization
TRACY FILLER, DMD, INC.
Active
Organization
TRACY FILLER, DMD, INC.
Active
Other names
ToothFillers Dental Practice of Tracy Filler, DMD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY DAO FILLER DMD (PRESIDENT)
(408) 329-8922
Entity
Organization
Contact information
Practice address
1569 LEXANN AVE, SAN JOSE, CA 95121-1794
(408) 329-8922
Mailing address
3809 DE LA CRUZ BLVD, SANTA CLARA, CA 95054-2116
(408) 329-8922
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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