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Individual

MRS. TRACI LYNN LOWRY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
19871 MITSCHER WAY, BRANCH DENTAL CLINIC MIRAMAR, SAN DIEGO, CA 92145-5103
(858) 577-1825
Mailing address
13227 TRIUMPH DR, POWAY, CA 92064-2981
(858) 722-2730

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18939
CA

Other

Enumeration date
08/23/2005
Last updated
07/08/2007
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