Tracy Nicole DDS a Professional Dental Corporation
NPI #1306950340 in Laguna Beach, California
Provider Information
- NPI Number
- 1306950340
- Entity Type
- Organization
- Organization Name
- Tracy Nicole DDS a Professional Dental Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 330 PARK AVE
- Address 2
- SUITE 1
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92657
- Phone
- (949) 497-3397
Authorized Official
- Name
- DR. TRACY NICOLE, DDS
- Title
- OWNER PRESIDENT OF CORP
- Phone
- (949) 497-3397
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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