Organization
JOHN C. TRUEB, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CHARLES TRUEB DDS (OWNER)
(209) 823-3574
Entity
Organization
Contact information
Practice address
165 SAINT DOMINICS DR STE 100, MANTECA, CA 95337-7802
(209) 823-3574
(209) 239-4378
Mailing address
165 SAINT DOMINICS DR STE 100, MANTECA, CA 95337-7802
(209) 823-3574
(209) 239-4378
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/18/2019
Last updated
08/26/2020
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