| NPI | 1043707334 |
|---|---|
| Doing Business As | GRACE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | RONALD A GRACE Dentist 304-595-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 2678) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |