Individual
GRASON JOSEPH HADFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
283 BLVD DE FRANCE, PARRIS ISLAND, SC 29906
(208) 870-1778
Mailing address
2940 W WAGONER RD, PHOENIX, AZ 85053-1122
(208) 870-1778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5141
ID
Other
Enumeration date
06/04/2020
Last updated
11/01/2021
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