Tracie L. Vestal, Dds, PA
NPI #1356515639 in Leland, North Carolina
Provider Information
- NPI Number
- 1356515639
- Entity Type
- Organization
- Organization Name
- Tracie L. Vestal, Dds, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 17, 2008
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1014B GRANDIFLORA DR
- City
- Leland
- State
- North Carolina
- ZIP Code
- 28451-7454
- Phone
- (910) 371-5965
Authorized Official
- Name
- DR. TRACIE LEIGH VESTAL, DDS
- Title
- OWNER
- Phone
- (910) 371-5965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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