Individual
WAYNE ERWIN GRABOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST DDS
Contact information
Practice address
559 VINCENT ST, 21 DS/SGGD-DENTAL CLINIC, PETERSON AFB, CO 80914-1540
(719) 556-1333
(866) 867-7926
Mailing address
559 VINCENT ST, 21 DS/SGGD-DENTAL CLINIC, PETERSON AFB, CO 80914-1540
(719) 556-1333
(866) 867-7926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8393
CO
Other
Enumeration date
02/02/2006
Last updated
04/20/2018
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