ROGER EDMUND GRAVEL

WINSTON SALEM, NC
NPI1639195563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  4436)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
Dr. ROGER EDMUND GRAVEL D.D.S.
201 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1507
Phone number: 336-718-1869
Mailing Address
Dr. ROGER EDMUND GRAVEL D.D.S.
1601 YARMOUTH LN
CLEMMONS, NC 27012-8001
Phone number: 336-945-9004