TRACY LYNN PROVENGHI

EL PASO, TX
NPI1447305156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  16456)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
Dr. TRACY LYNN PROVENGHI DDS
7400 VISCOUNT BLVD SUITE 210
EL PASO, TX 79925-4851
Phone number: 915-772-4740
Mailing Address
Dr. TRACY LYNN PROVENGHI DDS
7400 VISCOUNT BLVD SUITE 210
EL PASO, TX 79925-4828
Phone number: 915-772-4740