Individual
PAIGE ROLAND GRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542-0130
(910) 451-2208
(910) 451-8036
Mailing address
315 MCHUGH BLVD, CAMP LEJEUNE, NC 28547-2511
(910) 451-2208
(910) 451-8036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041426
PA
Other
Enumeration date
09/19/2017
Last updated
03/10/2024
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