Individual
MRS. TRACY LOUISE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
UNIT 26610, WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE, APO AE, NY 09244
(931) 804-3933
(931) 804-2524
Mailing address
UNIT 26610, WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE, APO AE, NY 09244
(931) 804-3933
(931) 804-2524
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009998
GA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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