Individual
DR. SANDY A GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5619 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73112-7769
(405) 840-3424
(405) 840-3596
Mailing address
5619 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73112-7769
(405) 840-3424
(405) 840-3596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OK5189
OK
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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