Organization
DAVID L. GRACE D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L GRACE D.D.S. (DENTIST)
(479) 442-9871
Entity
Organization
Contact information
Practice address
2017 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2619
(479) 442-9871
(479) 444-0043
Mailing address
2017 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2619
(479) 442-9871
(479) 444-0043
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2331
AR
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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