DR. Tracey Jean Dellavecchia, D.D.S.

NPI #1205802303 in Douglas, Michigan

Provider Information

NPI Number: 1205802303
Entity Type: Individual
Name: DR. Tracey Jean Dellavecchia, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 27, 2006
Last Updated: Aug 6, 2009

Practice Location

Address: 430 130TH AVE
City: Douglas
State: Michigan
ZIP Code: 49406-5100
Phone: (269) 857-1431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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