Individual
WILLIAM SHAUN GRATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
670 CANTON RD NE STE C, MARIETTA, GA 30060-7284
(770) 977-7688
Mailing address
3840 BLUFFVIEW DR, MARIETTA, GA 30062-7101
(770) 977-7688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN010398
GA
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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