Individual
DR. TRACY M WAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4814 INTERLAKE AVE N, SEATTLE, WA 98103-6777
(206) 547-0468
Mailing address
4814 INTERLAKE AVE N, SEATTLE, WA 98103-6777
(206) 547-0468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5769
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000377
—
DE
Enumeration date
07/25/2006
Last updated
07/08/2007
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