Tracy L Davidian DDS PA
Tracy L Davidian DDS PA is a Customized Equipment (DME) in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.
- Licensed in
- NC
- In the registry since
- 2016
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5904 Six Forks Rd Ste 225Raleigh, NC 27609-3838
Phone: (919) 782-9955
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 7149 (NC) |
|---|
Record details
| NPI number | 1053779538 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracy Davidian — Dentist/Owner · (919) 782-9955 |
| Other names | Physiologic Aesthetics |
| NPI enumerated | January 29, 2016 |
| Last updated in NPPES | January 29, 2016 |
| Mailing address | 5904 Six Forks Rd, Suite 225, Raleigh, NC 27609-3838 |
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