institution
Dr. Robert E. Tracy D.d.s., P.s.
Dental Clinic/Center in Seattle, Washington
NPI 1962647578

Dr. Robert E. Tracy D.d.s., P.s. is a Dental Clinic/Center based in Seattle, WA and is specialized in Dental. Dr. Robert E. Tracy D.d.s., P.s. practices in Seattle, WA. The NPI Number for Dr. Robert E. Tracy D.d.s., P.s. is 1962647578 and holds a License No. 4990 (Washington).

The current practice location address for Dr. Robert E. Tracy D.d.s., P.s. is 11066 5Th Ave Ne, Seattle, WA and can be reached out via phone at 206-362-3833 and via fax at 206-362-3834.

Location: 11066 5Th Ave Ne, Seattle, WA, 98125-6156
institution
Provider Profile Details
NPI Number
1962647578
Provider Name
Dr. Robert E. Tracy D.d.s., P.s.
Credential
Provider Entity Type
Organization
Address
11066 5Th Ave Ne, Seattle, WA, 98125-6156
Phone Number
206-362-3833
Fax Number
206-362-3834
Provider Enumeration Date
12/10/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4990 01 WA LISCENCE
5002043 01 WA MEDICAID
970226 01 WA UNITED CONCORDIA PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
11066 5Th Ave Ne
City
State
Zip
98125-6156
Phone Number
206-362-3833
Fax Number
206-362-3834
person
Provider Business Mailing Address Details
Address
11066 5Th Ave Ne
City
State
Zip
98125-6156
Phone Number
206-362-3833
Fax Number
206-362-3834
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
4990 (Washington)
Definition
Definition to come...
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