# NPD SERVICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Von R. Tracy DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235582602
- **Authorized official:** DR. VON R TRACY DDS (DENTIST)
- **Authorized official phone:** (509) 466-6614

## Contact information

- **Practice address:** 8404 N WALL ST, SPOKANE, WA 99208-6171
- **Practice address phone:** (509) 466-6614
- **Practice address fax:** (509) 466-0982
- **Mailing address:** 8404 N WALL ST, SPOKANE, WA 99208-6171
- **Mailing address phone:** (509) 466-6614
- **Mailing address fax:** (509) 466-0982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6885 | WA | Yes |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 07/20/2016