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1669567731
WALTER A GRAGE
DECATUR, GA
NPI
1669567731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 6216)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Dr. WALTER A GRAGE DDS
4324 COVINGTON HWY
DECATUR, GA 30035-1208
Phone number: 404-289-6454
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Mailing Address
Dr. WALTER A GRAGE DDS
4324 COVINGTON HWY
DECATUR, GA 30035-1208
Phone number: 404-289-6454
Copy
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