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General NPI Number Information
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NPI Number | 1922926401
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Entity Type | Organization
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Legal Business Name | GILL DENTAL TRACY INC
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 2271 W GRANT LINE RD STE 117
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City | TRACY
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State | CA
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Zip | 95377-7327
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Country | US
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Telephone | 209-597-7039
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Fax |
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Provider Business Mailing Address
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Address Line | 2271 W GRANT LINE RD STE 117
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City | TRACY
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State | CA
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Zip | 95377-7327
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Country | US
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Telephone | 209-597-7039
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDEEP S GILL
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Credential |
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Telephone | 646-275-6836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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