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NPI 1477728442

IndividualActive

Brian Tracey, CDT

NPI 1477728442 · Dental Laboratory Technician · Santa Fe, NM

Provider details

NPI number: 1477728442
Entity type: Individual
Primary specialty: Dental Laboratory TechnicianDental Providers
Credential: CDT
Sex: Male
Sole proprietor: No

Practice location

6 Calle Medico

Suite #5

Santa Fe, NM 87505

Phone: (505) 982-4119

Fax: (505) 982-0015

More NM providers

Mailing address

6 Calle Medico

Santa Fe, NM 87505

Registry dates

Enumerated: 2008-04-29
Last updated: 2008-04-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brian Tracey, CDT — NPI 1477728442, Santa Fe, NM | NPI Central