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Individual

DR. GRACIE STURDIVANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1007 SYCAMORE AVE, MCALLEN, TX 78501-4145
(956) 682-6114
(956) 682-8048
Mailing address
1007 SYCAMORE AVE, MCALLEN, TX 78501-4145
(956) 682-6114
(956) 682-8048

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20416
TX

Other

Enumeration date
07/15/2006
Last updated
07/08/2007
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