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TRACIE C STARLING DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1114018397

Individual Registrant:
 TRACIE C STARLING DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
310 SE PALMETTO AVE  KEYSTONE HGTS, FL 32656 US
Tel: 352-473-9090  Fax: 352-473-1060

Contact information for business:
310 SE PALMETTO AVE PO BOX 919 KEYSTONE HGTS, FL 32656 US
Tel: 352-473-9090  Fax: 352-473-1060

Registration Information:
NPI: 1114018397
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FLDN0013742

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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