Mrs. Tracy Sise, COSA
Mrs. Tracy Sise, COSA is a Dental Assistant in Modesto, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1213 Coffee Rd Ste DModesto, CA 95355-4229
Phone: (209) 522-5238
Fax: (209) 522-4703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Assistant (primary) | Taxonomy 126800000X |
|---|
Record details
| NPI number | 1477694628 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COSA |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2007 |
| Last updated in NPPES | July 8, 2007 |
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Miss. Krystal Lane
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Mrs. Kathleen D Wright, COSA
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