Individual
DR. SCOTT A. GRADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1245 S CEDAR CREST BLVD, SUITE 200, ALLENTOWN, PA 18103-6258
(610) 770-1050
Mailing address
1245 S CEDAR CREST BLVD, SUITE 200, ALLENTOWN, PA 18103-6258
(610) 770-1050
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS026216L
PA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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