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1093283202
JAMES DEGRACIE
RICHMOND, VA
NPI
1093283202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401417441)
Additional Taxonomies
122300000X Dentist
(Licence: CA 102799)
Enumeration Date
2018-11-06
Last Update Date
2021-07-28
Business Address
Dr. JAMES DEGRACIE DDS
520 N 12TH ST
RICHMOND, VA 23298-5064
Phone number: 804-828-9363
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Mailing Address
Dr. JAMES DEGRACIE DDS
PO BOX 7600
MESA, AZ 85216-7600
Phone number:
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