TRACY LYNN BACON

SOUTH BEND, IN
NPI1023099959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12010041A)
Enumeration Date2005-11-08
Last Update Date2007-07-08
Business Address
-- TRACY LYNN BACON DDS
906 E WASHINGTON ST
SOUTH BEND, IN 46617-3108
Phone number: 574-282-1390
Mailing Address
-- TRACY LYNN BACON DDS
906 E WASHINGTON ST
SOUTH BEND, IN 46617-3108
Phone number: 574-282-1390
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