Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN J TRACEY, CDT
ActiveDental Laboratory Technician · SANTA FE, NM
Registration Details
- NPI Number
- 1477728442
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2008 (17.999538947087 yrs)
- Last Updated
- Apr 29, 2008
Practice Information
- Address
-
6 CALLE MEDICOSUITE #5SANTA FE, NM, 87505Browse NM providers · Browse ZIP 87505
- Phone
- 5059824119
- Fax
- 5059820015
- Primary Specialty
-
Dental Laboratory Technician
126900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.