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1639195563
ROGER EDMUND GRAVEL
WINSTON SALEM, NC
NPI
1639195563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 4436)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
Dr. ROGER EDMUND GRAVEL D.D.S.
201 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1507
Phone number: 336-718-1869
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Mailing Address
Dr. ROGER EDMUND GRAVEL D.D.S.
1601 YARMOUTH LN
CLEMMONS, NC 27012-8001
Phone number: 336-945-9004
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