Organization
TEJDEEP S RATTAN DDS INC
Active
Other names
Innovo Dental and Implant Studio
Organization subpart
No
Provider details
NPI number
Authorized official
TEJDEEP S RATTAN DDS (PRESIDENT)
(937) 369-7843
Entity
Organization
Contact information
Practice address
2955 N CORRAL HOLLOW RD STE 100, TRACY, CA 95376-8800
(937) 369-7843
Mailing address
2955 N CORRAL HOLLOW RD STE 100, TRACY, CA 95376-8800
(937) 369-7843
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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