Individual
DR. COLLEEN A TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10315 19TH AVE SE, SUITE 110, EVERETT, WA 98208-4268
(425) 337-1000
(425) 337-1099
Mailing address
10315 19TH AVE SE, SUITE 110, EVERETT, WA 98208-4268
(425) 337-1000
(425) 337-1099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6511
WA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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