Individual
DR. EDWARD TRACY SALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,DDS
Contact information
Practice address
4000 MEDICAL CENTER DR., STE 404, FAYETTEVILLE, NY 13066
(315) 234-9865
Mailing address
5471 KEARNY VILLA RD STE 200, SAN DIEGO, CA 92123-1143
(866) 801-9440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
104553
CA
207YX0602X
Otolaryngic Allergy Physician
Primary
181365
NY
Other
Enumeration date
11/30/2005
Last updated
06/18/2024
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