Tracy Lynn Boldry, DMD

NPI #1518954007 in Topeka, Kansas

Provider Information

NPI Number: 1518954007
Entity Type: Individual
Name: Tracy Lynn Boldry, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 30, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 5100 SW 28TH ST
City: Topeka
State: Kansas
ZIP Code: 66614-2321
Phone: (785) 273-8109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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