Individual
DR. ELVIS N GRACIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
B38 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674-4615
(787) 884-5015
Mailing address
34 CALLE PALM BLVD, GRAND PALM, VEGA ALTA, PR 00692-9785
(787) 884-5015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2659
PR
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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