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1447305156
TRACY LYNN PROVENGHI
EL PASO, TX
NPI
1447305156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 16456)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
Dr. TRACY LYNN PROVENGHI DDS
7400 VISCOUNT BLVD SUITE 210
EL PASO, TX 79925-4851
Phone number: 915-772-4740
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Mailing Address
Dr. TRACY LYNN PROVENGHI DDS
7400 VISCOUNT BLVD SUITE 210
EL PASO, TX 79925-4828
Phone number: 915-772-4740
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