Individual
DR. ARTHUR JOSEPH GRAVELINE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
899 MARION AVE, MARION, CT 06444
(860) 621-4396
Mailing address
899 MARION AVE, PO BOX 305, MARION, CT 06444
(860) 621-4396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4095
CT
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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