Organization
KIMBERLY L GRAGG DDS MS PLLC
Active
Organization
KIMBERLY L GRAGG DDS MS PLLC
Active
Other names
Gragg Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY LUTZ GRAGG DDS, MS, PLLC (OWNER)
(828) 438-8998
Entity
Organization
Contact information
Practice address
509 HARPER AVE SW, LENOIR, NC 28645-5076
(828) 438-8998
(828) 438-8898
Mailing address
509 HARPER AVE SW, LENOIR, NC 28645-5076
(828) 438-8998
(828) 438-8898
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609980077
—
NC
Enumeration date
11/26/2018
Last updated
01/29/2019
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