Organization
NPD SERVICE LLC
Active
Other names
Von R. Tracy DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VON R TRACY DDS (DENTIST)
(509) 466-6614
Entity
Organization
Contact information
Practice address
8404 N WALL ST, SPOKANE, WA 99208-6171
(509) 466-6614
(509) 466-0982
Mailing address
8404 N WALL ST, SPOKANE, WA 99208-6171
(509) 466-6614
(509) 466-0982
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6885
WA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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