Individual
VON R TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10121 N NEVADA, 201, SPOKANE, WA 99218
(509) 466-6614
(509) 466-0982
Mailing address
10121 N NEVADA, 201, SPOKANE, WA 99218
(509) 466-6614
(509) 466-0982
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006885
WA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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