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Dr. Tracy G Golden, DMD
Periodontist in Los Angeles, California
NPI 1093741183

Tracy G Golden is a Periodontist based in Los Angeles, CA and is specialized in Periodontics. Tracy G Golden practices in Los Angeles, CA and has the professional credentials of DMD. The NPI Number for Tracy G Golden is 1093741183 and holds a License No. 33208 (California).

The current practice location address for Tracy G Golden is 10921 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-209-7572 and via fax at 310-209-7574.

Location: 10921 Wilshire Blvd, Los Angeles, CA, 90024-3906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093741183
Provider Name
Tracy G Golden
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
10921 Wilshire Blvd, Los Angeles, CA, 90024-3906
Phone Number
310-209-7572
Fax Number
310-209-7574
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33208 01 CA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
10921 Wilshire Blvd
City
Los Angeles
State
California
Zip
90024-3906
Phone Number
310-209-7572
Fax Number
310-209-7574
person
Provider Business Mailing Address Details
Address
10921 Wilshire Blvd
City
Los Angeles
State
California
Zip
90024-3906
Phone Number
310-209-7572
Fax Number
310-209-7574
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
33208 (California)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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