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Individual

DR. TRACY ALEXANDER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601
(541) 884-1331
(541) 880-2996
Mailing address
2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601
(541) 884-1331
(541) 880-2996

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5809
OR

Other

Enumeration date
07/07/2006
Last updated
07/08/2007
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