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Organization

GRAMMER DENTAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. J STANLEY GRAMMER DMD (OWNER)
(870) 793-2482
Entity
Organization

Contact information

Practice address
184 N 5TH ST, BATESVILLE, AR 72501-4609
(870) 793-2482
Mailing address
184 N 5TH ST, BATESVILLE, AR 72501-4609
(870) 793-2482

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2486
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134973631
AR
Enumeration date
03/26/2007
Last updated
08/30/2007
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