Individual
MRS. JULIE ANN GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
193 SE HANKEL ST, DALLAS, OR 97338-1515
(360) 601-2276
Mailing address
193 SE HANKEL ST, DALLAS, OR 97338
(360) 601-2276
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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