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Individual

DR. KIMBERLY LUTZ GRAGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
303 S GREEN ST STE 201, MORGANTON, NC 28655-3526
(828) 438-8998
(828) 438-8898
Mailing address
303 S GREEN ST STE 201, MORGANTON, NC 28655-3526
(828) 438-8998
(828) 438-8898

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6987
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89-902A1
NC
Enumeration date
08/19/2006
Last updated
10/31/2018
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