Individual
GRACE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1035 FLORIDA AVE, KEYSER, WV 26726-2804
(304) 788-6647
Mailing address
130 AUTUMN DR, ROMNEY, WV 26757-1116
(813) 300-9209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4324
WV
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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