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Organization
DR. ROBERT E. TRACY D.D.S., P.S.
Active
Organization
DR. ROBERT E. TRACY D.D.S., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. TRACY D.D.S., P.S. (SOLE PROPRIETOR)
(206) 362-3833
Entity
Organization
Contact information
Practice address
11066 5TH AVE NE, SUITE 200, SEATTLE, WA 98125-6156
(206) 362-3833
(206) 362-3834
Mailing address
11066 5TH AVE NE, SUITE 200, SEATTLE, WA 98125-6156
(206) 362-3833
(206) 362-3834
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4990
WA
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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