Individual
EDWARD TRITICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1710 MEMORIAL DR, SUITE C, HOLLISTER, CA 95023-5700
(831) 637-8133
(831) 637-4099
Mailing address
1710 MEMORIAL DR, SUITE C, HOLLISTER, CA 95023-5700
(831) 637-8133
(831) 637-4099
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
032409
CA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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