Wayne Erwin Grabow, DENTIST DDS

NPI #1023080256 in Peterson Afb, Colorado

Provider Information

NPI Number: 1023080256
Entity Type: Individual
Name: Wayne Erwin Grabow, DENTIST DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DENTIST DDS
Enumeration Date: Feb 2, 2006
Last Updated: Apr 20, 2018

Practice Location

Address: 559 VINCENT ST
Address 2: 21 DS/SGGD-DENTAL CLINIC
City: Peterson Afb
State: Colorado
ZIP Code: 80914-1540
Phone: (719) 556-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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