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1336294008
DAVID LEE GRACE
FAYETTEVILLE, AR
NPI
1336294008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: AR 2331)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
DAVID LEE GRACE D.D.S.
2017 N GREEN ACRES RD
FAYETTEVILLE, AR 72703-2619
Phone number: 479-442-9871
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Mailing Address
DAVID LEE GRACE D.D.S.
2017 N GREEN ACRES RD
FAYETTEVILLE, AR 72703-2619
Phone number: 479-442-9871
Copy
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