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MISS TRACY L BILL RDH

Dental Hygienist

Lebanon, New Hampshire

Provider NPI: 1851473029

Provider Information:
MISS TRACY L BILL RDH
Gender: F
Not Sole Proprietor

Practice Location:
1 COURT ST STE 270  LEBANON, NH 03766 US
Tel: 603-448-1830  Fax: --

Business Mailing Address:
28 MOUNTAIN VIEW DR  ENFIELD, NH 03748 US
Tel: 603-689-8646  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y124Q00000XDental Providers
Dental Hygienist
NH2593

Other Provider Identifiers:

IssuerNumberStateType
RDH2593NH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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