| NPI | 1235582602 |
|---|---|
| Other Name | VON R. TRACY DDS |
| Entity Type | Organization |
| Authorized Contact | VON R TRACY Dentist 509-466-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 6885) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |