Individual
TRACI T SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S. , M.S.
Contact information
Practice address
2305 W WILLIAM CANNON DR, AUSTIN, TX 78745-5319
(512) 444-3494
(512) 444-3864
Mailing address
2305 W WILLIAM CANNON DR, AUSTIN, TX 78745-5319
(512) 444-3494
(512) 444-3864
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
19023
TX
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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