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Individual

DR. SAUL EDGARDO GRAJALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD MSD

Contact information

Practice address
4202 N 32ND ST, SUITE D, PHOENIX, AZ 85018-4746
(602) 956-0650
(602) 956-0730
Mailing address
4202 N 32ND ST, SUITE D, PHOENIX, AZ 85018-4746
(602) 956-0650
(602) 956-0730

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D4716
AZ

Other

Enumeration date
04/06/2006
Last updated
01/10/2017
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