Organization
JOHN L. GRAVITTE, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L. GRAVITTE D.D.S. (PRESIDENT)
(336) 719-2273
Entity
Organization
Contact information
Practice address
202 RAWLEY AVE, MOUNT AIRY, NC 27030-3530
(336) 719-2273
(336) 719-2265
Mailing address
202 RAWLEY AVE, MOUNT AIRY, NC 27030-3530
(336) 719-2273
(336) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7207
NC
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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