Individual
DR. KRAG CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
419 NORTH MAIN, GRAFTON, OH 44044-1253
(440) 926-2705
Mailing address
419 NORTH MAIN, GRAFTON, OH 44044-1253
(440) 926-2705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30019458
OH
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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