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1871258913
GRACE PEDIATRIC DENTAL CARE LLC
GRAYSON, GA
NPI
1871258913
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Entity Type
Organization
Authorized Contact
TABITHA IKPECHUKWU EFOBI
Owner
757-831-6852
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
GRACE PEDIATRIC DENTAL CARE LLC
2115 LOGANVILLE HWY STE 101
GRAYSON, GA 30017-1771
Phone number: 470-508-0125
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Mailing Address
GRACE PEDIATRIC DENTAL CARE LLC
2115 LOGANVILLE HWY STE 101
GRAYSON, GA 30017-1771
Phone number: 470-508-0125
Copy
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