Organization
RYAN TRACY, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RYAN TRACY DMD (OWNER)
(601) 924-0770
Entity
Organization
Contact information
Practice address
104 CLINTON CENTER DR, CLINTON, MS 39056-5627
(601) 924-0770
(601) 924-2523
Mailing address
104 CLINTON CENTER DR, CLINTON, MS 39056-5627
(601) 924-0770
(601) 924-2523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3072-98
MS
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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