NPI | 1184742587 |
---|---|
Entity Type | Organization |
Authorized Contact | J STANLEY GRAMMER Owner 870-793-2482 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2486) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2007-08-30 |