NPI | 1083871768 |
---|---|
Former Legal Business Name | TRACY GASBARRA DDS PLLC |
Entity Type | Organization |
Authorized Contact | TRACY ANN GASBARRA Dentist/Owner 405-390-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5671) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2022-05-09 |