# TRACY KU D.D.S.,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932249273
- **Authorized official:** TRACY KU DDS (PRESIDENT)
- **Authorized official phone:** (626) 288-2000

## Contact information

- **Practice address:** 1448 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3656
- **Practice address phone:** (626) 288-2000
- **Practice address fax:** (626) 288-1402
- **Mailing address:** 1448 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3656
- **Mailing address phone:** (626) 288-2000
- **Mailing address fax:** (626) 288-1402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 35415 | CA | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020