Individual
TRACY E DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
806 TUURI PL, FLINT, MI 48503-2465
(810) 768-7583
Mailing address
806 TUURI PL, FLINT, MI 48503-2465
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
2901019629
MI
1223P0221X
Pediatric Dentistry
Primary
2901019629
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2007
Last updated
11/09/2012
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