Individual
TRACEY BETH CAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
21301 ERWIN ST UNIT 225, WOODLAND HILLS, CA 91367-3789
(310) 497-5050
Mailing address
21301 ERWIN ST UNIT 225, WOODLAND HILLS, CA 91367-3789
(310) 497-5050
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
226
CA
Other
Enumeration date
01/19/2009
Last updated
09/28/2012
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