DR. Tracy Nicole, D.D.S.

NPI #1356432157 in Laguna Beach, California

Provider Information

NPI Number
1356432157
Entity Type
Individual
Name
DR. Tracy Nicole, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Sep 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
330 PARK AVE STE 1
ZIP Code
92651-2352
Phone
(949) 533-2669

Specialties & Taxonomy Codes

Specialty
Dentist

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