Tracy S Bass, RDH Valid NPI
Individual provider · Dental Hygienist · Ashburn, GA
- NPI
- 1366580888
- Type
- Individual (Type 1)
- Primary specialty
- Dental Hygienist
- Specialty group
- Dental Providers
- Taxonomy code
- 124Q00000X
- License number
- DH005972 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-02-05
- Last updated
- 2007-07-08
Practice location
274 Whittle Cir
Ashburn, GA 31714-1918
(229) 567-4316