TRACY NICOLE DDS A PROFESSIONAL DENTAL CORPORATION

LAGUNA BEACH, CA
NPI1306950340
Entity TypeOrganization
Authorized ContactTRACY NICOLE
Owner President Of Corp
949-497-3397
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  45231)
Enumeration Date2006-08-18
Last Update Date2020-08-22
Business Address
TRACY NICOLE DDS A PROFESSIONAL DENTAL CORPORATION
330 PARK AVE SUITE 1
LAGUNA BEACH, CA 92657
Phone number: 949-497-3397
Mailing Address
TRACY NICOLE DDS A PROFESSIONAL DENTAL CORPORATION
330 PARK AVE SUITE 1
LAGUNA BEACH, CA 92657
Phone number: 949-497-3397