Dr. Robert E. Tracy D.d.s., P.s.

NPI #1962647578 in Seattle, Washington

Provider Information

NPI Number
1962647578
Entity Type
Organization
Organization Name
Dr. Robert E. Tracy D.d.s., P.s.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 10, 2008
Last Updated
Dec 10, 2008

Practice Location

Address
11066 5TH AVE NE
Address 2
SUITE 200
ZIP Code
98125-6156
Phone
(206) 362-3833

Authorized Official

Name
DR. ROBERT E. TRACY, D.D.S., P.S.
Title
SOLE PROPRIETOR
Phone
(206) 362-3833

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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