Individual
DR. GRAYSON BLAIR SITTASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
819 HIGHWAY 31 NW, HARTSELLE, AL 35640-4412
(256) 773-2233
Mailing address
804 PENN CIR SE, HARTSELLE, AL 35640-3308
(256) 466-0623
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0006914-C1
AL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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