Individual
DR. STACY TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1712 E GUADALUPE RD, SUITE 109, TEMPE, AZ 85283-3983
(480) 829-8200
(480) 967-5252
Mailing address
1712 E GUADALUPE RD, SUITE 109, TEMPE, AZ 85283-3983
(480) 829-8200
(480) 967-5252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4478
AZ
Other
Enumeration date
04/27/2006
Last updated
04/26/2012
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