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Individual

CAROLINA ROSE GRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
506 1ST AVE SE, CULLMAN, AL 35055-4301
(256) 239-3337
Mailing address
503 CREST CIR S, JASPER, AL 35501-4837
(205) 717-6879

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007374-C1
AL

Other

Enumeration date
05/22/2023
Last updated
05/22/2026
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