Individual
DR. TY ALEXANDER GRABOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
790 NW BROAD ST, MURFREESBORO, TN 37129-2766
(615) 867-6360
Mailing address
1214 WHITESIDE HILL RD, WARTRACE, TN 37183-3029
(931) 224-0088
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10923
TN
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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