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Individual
DR. GABRIEL LEONARD GRISHAM
Active
Individual
DR. GABRIEL LEONARD GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401416112
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN03731
RI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN124162
GA
Other
Enumeration date
05/30/2018
Last updated
07/29/2026
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