| NPI | 1063168789 |
|---|---|
| Doing Business As | GRAYCE DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMANDA GRAYCE SCHWARTZ Owner 651-608-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-03-16 |