Individual
DR. JOHN L. GRAVITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
202 RAWLEY AVE, MOUNT AIRY, NC 27030-3530
(336) 719-2273
(336) 719-2265
Mailing address
202 RAWLEY AVE, MOUNT AIRY, NC 27030-3530
(336) 719-2273
(336) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7207
NC
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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