Individual
MRS. TRACY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10602 CHAPMAN AVE, SUITE 200, GARDEN GROVE, CA 92840-3146
(714) 638-0700
Mailing address
293 BOWLING GREEN DR, COSTA MESA, CA 92626-6104
(714) 549-9942
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
17383
CA
Other
Enumeration date
11/26/2010
Last updated
11/26/2010
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