Individual
TRACY TRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4400 EMILE ST, OMAHA, NE 68198-0600
(402) 559-6000
Mailing address
1844 WAR ADMIRAL DR SE, ALBUQUERQUE, NM 87123-2292
(505) 480-3357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4891
NM
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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