NPI 1588799084

Tracy Manuel Crear, DDS

Practitioner General Practice Dentistry Baker, LA

Practice location

Address: 3508 Groom Rd, Baker, LA 70714-3508
Phone: (225) 374-3934
Fax: (225) 374-9980

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4541 (LA)

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Registry record

NPI: 1588799084
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2007
Record last updated: 8 Jul 2007

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.