Individual
DR. RICHARD RYAN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
104 CLINTON CENTER DR, CLINTON, MS 39056-5627
(601) 924-0770
Mailing address
104 CLINTON CENTER DR, CLINTON, MS 39056-5627
(601) 924-0770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3072-98
MS
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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