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Individual

DR. GARY MACGRAW

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1148 IOWA ST, ASHLAND, OR 97520-2220
(541) 488-2001
Mailing address
1148 IOWA ST, ASHLAND, OR 97520-2220
(541) 488-2001

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5330
OR

Other

Enumeration date
08/02/2005
Last updated
07/08/2007
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