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Organization

P RONALD GRAZIANI DDS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL RONALD GRAZIANI DDS (DENTIST)
(304) 366-7771
Entity
Organization

Contact information

Practice address
315 FIRST ST, FAIRMONT, WV 26554-2802
(304) 366-3378
(304) 366-5978
Mailing address
315 FIRST ST, FAIRMONT, WV 26554-2802
(304) 366-7771
(304) 366-5978

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2070
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0135200000
WV
01
500292
UNITED CONCORDIA
Enumeration date
10/26/2006
Last updated
08/22/2020
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