TRACEY LYSANDER, DDS

Dentist

Active Individual
NPI: 1306918487

Practice Address

15835 POMERADO RD STE 403
Poway, CA 92064

Phone: (858) 451-8321

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 32580 (CA)

Frequently Asked Questions

NPI 1306918487 is the National Provider Identifier for TRACEY LYSANDER, DDS, a Dentist provider located in Poway, CA. This NPI was enumerated on November 14, 2006.
TRACEY LYSANDER, DDS practices at 15835 POMERADO RD STE 403, Poway, CA 92064.

Quick Facts

NPI
1306918487
Type
Individual
Enumerated
Nov 14, 2006
Last Updated
Jul 8, 2007

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