Organization
GRAYLING DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN REX MORIARITY DDS (OWNER)
(989) 348-4521
Entity
Organization
Contact information
Practice address
604 GALEN STREET, GRAYLING DENTAL PC, GRAYLING, MI 49738
(989) 348-4521
(989) 344-2322
Mailing address
BOX 606 604 GALEN STREET, GRAYLING, MI 49738
(989) 348-4521
(989) 344-2322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29010 13182
MI
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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