Individual
DAVID LEE GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2017 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2619
(479) 442-9871
(479) 444-0043
Mailing address
2017 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2619
(479) 442-9871
(479) 444-0043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2331
AR
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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