Organization
ASHOK N VEERANKI DDS INC A PROFESSIONAL DENTAL COORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JILL BALDWIN (PRACTICE ADMINISTRATOR)
(209) 823-9371
Entity
Organization
Contact information
Practice address
620 W EATON AVE, TRACY, CA 95376-3361
(209) 823-9371
(209) 823-8374
Mailing address
620 W EATON AVE, TRACY, CA 95376-3361
(209) 823-9371
(209) 823-8374
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
51526
CA
Other
Enumeration date
06/26/2017
Last updated
07/21/2022
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