Golden, Tracy G

Golden, Tracy G is an individual health care provider with primary practice located at 10921 Wilshire Blvd 1009, Los Angeles CA 90024-3906. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Golden, Tracy G can be contacted via phone (310) 209-7572.

Contact Information

Primary practice address
10921 Wilshire Blvd 1009 Los Angeles CA 90024-3906
Fax: (310) 209-7574
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 33208 California

Profile Details

NPI number 1093741183
LBN Legal business name Golden, Tracy G
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093741183 NPPES
California Other 33208 LICENSE NUMBER

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