Individual
DR. GREGORY GRABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10049 E DYNAMITE BLVD, SUITE 110, SCOTTSDALE, AZ 85262-3694
(480) 513-6864
(480) 538-5258
Mailing address
20100 N 78TH PL APT 1123, SCOTTSDALE, AZ 85255-3835
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6487
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107483
—
AZ
Enumeration date
08/10/2006
Last updated
10/15/2007
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