NPI 1477728442

Brian J Tracey, CDT

Practitioner Dental Laboratory Technician Santa Fe, NM

Practice location

Address: 6 Calle Medico Suite #5, Santa Fe, NM 87505
Phone: (505) 982-4119
Fax: (505) 982-0015

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X

Other Dental Laboratory Technician providers in New Mexico →

Registry record

NPI: 1477728442
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2008
Record last updated: 29 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.