Individual
DR. JOHN WALTER HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
760 EAST AVE, BLDG 3911 SUITE B, PENSACOLA, FL 32508-5136
(850) 377-4593
(850) 452-8892
Mailing address
8 STAR LAKE DR, PENSACOLA, FL 32507-3410
(850) 377-4593
(850) 452-8892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 5392
FL
Other
Enumeration date
01/20/2006
Last updated
07/30/2007
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