Individual
TRACY SANFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 PALM COAST PKWY NE UNIT 606, PALM COAST, FL 32137-8225
(386) 446-5595
Mailing address
17 PRINCE ANTHONY LN, PALM COAST, FL 32164-7163
(386) 569-9824
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11668
FL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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