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1790132249
TRACY J BETHA
SAN DIEGO, CA
NPI
1790132249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: CA HAP614)
Enumeration Date
2016-05-14
Last Update Date
2016-05-16
Business Address
TRACY J BETHA RDHAP
5454 MOUND AVE
SAN DIEGO, CA 92120-2846
Phone number: 714-745-4989
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Mailing Address
TRACY J BETHA RDHAP
5454 MOUND AVE
SAN DIEGO, CA 92120-2846
Phone number: 714-745-4989
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