Organization
PACIFIC DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL GRAVES DDS (DDS)
(850) 712-2307
Entity
Organization
Contact information
Practice address
305 E OSAGE ST STE 3, PACIFIC, MO 63069-1621
(636) 257-3997
Mailing address
921 LAKELAND DR, PACIFIC, MO 63069-1076
(850) 712-2307
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
04/27/2022
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