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Organization
DR. RONALD A. GRACE, DDS PLLC
Active
Organization
DR. RONALD A. GRACE, DDS PLLC
Active
Other names
Grace Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A GRACE DDS (DENTIST)
(304) 595-3551
Entity
Organization
Contact information
Practice address
15081 MACCORKLE AVE, CHELYAN, WV 25035
(304) 595-3551
(304) 595-6822
Mailing address
PO BOX 40, CABIN CREEK, WV 25035-0040
(304) 595-3551
(304) 595-6822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2678
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137007000
—
WV
Enumeration date
04/23/2018
Last updated
04/23/2018
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