Individual
HANNAH TRACY FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11321 COUNTRYWAY BLVD, TAMPA, FL 33626-2610
(507) 990-0697
Mailing address
3201 HARBOR VIEW DR, SAINT JOSEPH, MO 64506-4568
(507) 990-0697
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26949
FL
Other
Enumeration date
06/04/2022
Last updated
12/12/2022
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