Organization
DANIEL W. TRACY, III D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL WOLCOTT TRACY III DMD (PRESIDENT)
(860) 892-4996
Entity
Organization
Contact information
Practice address
100 FANNING AVE, NORWICH, CT 06360-2943
(860) 892-4996
Mailing address
100 FANNING AVE, NORWICH, CT 06360-2943
(860) 892-4996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7736
CT
Other
Enumeration date
09/29/2006
Last updated
08/22/2020
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