Individual
TRACY J BETHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
5454 MOUND AVE, SAN DIEGO, CA 92120-2846
(714) 745-4989
Mailing address
5454 MOUND AVE, SAN DIEGO, CA 92120-2846
(714) 745-4989
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP614
CA
Other
Enumeration date
05/14/2016
Last updated
05/16/2016
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