Individual
GRACE MARIE MONETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-3117
(843) 492-5861
Mailing address
2839 LAKESHORE ROAD, APPLEGATE, MI 48401
(313) 588-0601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10856
SC
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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