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Individual

CAROLINA ROSE GRACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
28779 NICK DAVIS RD, HARVEST, AL 35749-7009
(256) 233-4600
Mailing address
1214 TOMMY ROBINSON RD, JASPER, AL 35504-6627
(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
06/04/2025
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