Organization
TRACY M. CREAR, D.D.S. & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY MANUEL CREAR D.D.S. (OWNER)
(225) 774-3934
Entity
Organization
Contact information
Practice address
3508 GROOM RD, BAKER, LA 70714-3508
(225) 774-3934
(225) 774-3980
Mailing address
3508 GROOM RD, BAKER, LA 70714-3508
(225) 774-3934
(225) 774-3980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880728
—
LA
Enumeration date
02/23/2007
Last updated
08/22/2020
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