Individual
MEAGAN ELISE GRAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
229 W SAINT LOUIS ST STE 1, LEBANON, IL 62254-1515
(618) 537-2017
Mailing address
229 W SAINT LOUIS ST STE 1, LEBANON, IL 62254-1515
(618) 537-2017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029198
IL
Other
Enumeration date
10/30/2012
Last updated
09/13/2023
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