Organization
RONALD J TRACY DDS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JOHN TRACY DDS (PRESIDENT)
(253) 863-2995
Entity
Organization
Contact information
Practice address
1006 FRYAR AVE STE B, SUMNER, WA 98390-1501
(253) 863-2995
(253) 863-3821
Mailing address
1006 FRYAR AVE STE B, SUMNER, WA 98390-1501
(253) 863-2995
(253) 863-3821
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4141
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5307202
—
WA
Enumeration date
04/15/2008
Last updated
04/15/2008
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