Individual
ALISON MARY SIMARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1800 TULLY RD STE A2, MODESTO, CA 95350-2923
(209) 527-3990
Mailing address
2471 NORTH NAGLEE ROAD SUITE 100, UNIT 1089, TRACY, CA 95304
(413) 485-8293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109351
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2023
Last updated
09/11/2023
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