Organization
TRANQUIL TEETH LLC
Active
Other names
Syracuse Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY N GARCIA D.D.S. (OWNER/DENTIST)
(402) 525-4664
Entity
Organization
Contact information
Practice address
935 1ST ST, SYRACUSE, NE 68446-9612
(402) 269-3160
(402) 269-3174
Mailing address
PO BOX L1, SYRACUSE, NE 68446-0652
(402) 269-3160
(402) 269-3174
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346315777
—
NE
05
—
1548413784
—
NE
Enumeration date
05/29/2024
Last updated
05/29/2024
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