Individual
DR. LESLIE L GRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3425 ENSIGN RD NE, STE 210, OLYMPIA, WA 98506-5425
(360) 459-4400
Mailing address
6210 SCOTTSDELL CT SW, LAKEWOOD, WA 98499-1130
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
WA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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