Individual
DR. KRISTINE LAZAR GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
11201 88TH AVE E, #110, PUYALLUP, WA 98373-3802
(253) 445-0022
Mailing address
11201 88TH AVE E, #110, PUYALLUP, WA 98373-3802
(253) 445-0022
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00008652
WA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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