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Organization
TRACY E. WALTERS DDS PA DBA SMILETASTIC
Active
Organization
TRACY E. WALTERS DDS PA DBA SMILETASTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY E. WALTERS DDS (GENERAL DENTIST)
(863) 658-3276
Entity
Organization
Contact information
Practice address
4850 SUN N LAKE BLVD, SEBRING, FL 33872-2110
(863) 658-3276
(863) 658-3290
Mailing address
4850 SUN N LAKE BLVD, SEBRING, FL 33872-2110
(863) 658-3276
(863) 658-3290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21053
FL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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