Individual
DR. JACOB ANTONIO GRACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17 LONG AVE STE 108, HAMBURG, NY 14075-6200
(716) 655-5000
Mailing address
17 LONG AVE STE 108, HAMBURG, NY 14075-6200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063865
NY
122300000X
Dentist
109539
CA
Other
Enumeration date
02/07/2022
Last updated
05/05/2026
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