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1043866338
JRL DENTAL DBA GRACE DENTAL CARE
CHELYAN, WV
NPI
1043866338
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Entity Type
Organization
Authorized Contact
JASON R LONG
Owner
304-784-6665
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
JRL DENTAL DBA GRACE DENTAL CARE
15081 MACCORKLE AVE
CHELYAN, WV 25035
Phone number: 304-595-3551
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Mailing Address
JRL DENTAL DBA GRACE DENTAL CARE
1628 W 3RD AVE
WILLIAMSON, WV 25661-3007
Phone number:
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