DR. Tracy Ellen Durham, D.D.S.

NPI #1366577322 in Pooler, Georgia

Provider Information

NPI Number: 1366577322
Entity Type: Individual
Name: DR. Tracy Ellen Durham, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 145 TRADERS WAY
Address 2: SUITE D
City: Pooler
State: Georgia
ZIP Code: 31322-6005
Phone: (912) 748-4494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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