Individual
TRACY COLE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7300 GIRARD AVE STE 207, LA JOLLA, CA 92037-5138
(858) 344-7978
Mailing address
7300 GIRARD AVE STE 207, LA JOLLA, CA 92037-5138
(858) 344-7978
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
47370
CA
Other
Enumeration date
07/22/2011
Last updated
01/09/2021
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