Individual
DR. TRACY G GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
10921 WILSHIRE BLVD, 1009, LOS ANGELES, CA 90024-3906
(310) 209-7572
(310) 209-7574
Mailing address
10921 WILSHIRE BLVD, 1009, LOS ANGELES, CA 90024-3906
(310) 209-7572
(310) 209-7574
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
33208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33208
LICENSE NUMBER
CA
Enumeration date
06/23/2006
Last updated
07/08/2007
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