Individual
VIKTORIJA GRAJEVSKAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 N PINE ST, PORT ALLEGANY, PA 16743-1238
(814) 642-7232
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043320
PA
Other
Enumeration date
07/20/2021
Last updated
07/30/2021
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