Organization
GRACE DENTAL DESIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDY A. GRACE (OWNER)
(405) 840-3424
Entity
Organization
Contact information
Practice address
5619 N PENN AVE, OKLAHOMA CITY, OK 73112-7769
(405) 840-3424
Mailing address
5619 N PENN AVE, OKLAHOMA CITY, OK 73112-7769
(405) 840-3424
(405) 840-3596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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