Individual
TRACY S KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6105 HARTFORD ROAD, BALTIMORE, MD 21214
(410) 254-5437
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11581
MD
Other
Enumeration date
08/11/2006
Last updated
12/28/2010
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