Individual
MRS. TRACY L BOYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
680 VENTANA DEL ROBLES, TEMPLETON, CA 93465-5016
(805) 610-7281
Mailing address
680 VENTANA DEL ROBLES, TEMPLETON, CA 93465-5016
(805) 610-7281
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
284
CA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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