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Individual
DR. ERIC L GREGG
Active
Individual
DR. ERIC L GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6274
NV
122300000X
Dentist
D9716
OR
1223G0001X
General Practice Dentistry
Primary
63146
CA
Other
Enumeration date
06/15/2012
Last updated
03/11/2014
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