Individual
DR. ANTHONY GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
7201 CREEDMOOR RD STE 120, RALEIGH, NC 27613-8000
(919) 846-6622
Mailing address
7201 CREEDMOOR RD STE 120, RALEIGH, NC 27613-8000
(919) 846-6622
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
016.0107689
VT
1223P0700X
Prosthodontics
Primary
11682
NC
Other
Enumeration date
05/07/2014
Last updated
07/08/2020
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