Matthew Grace, D.D.S.

NPI #1083096820 in Van, Texas

Provider Information

NPI Number: 1083096820
Entity Type: Individual
Name: Matthew Grace, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 28, 2015
Last Updated: Jun 28, 2015

Practice Location

Address: 299 QUAIL ST
City: Van
State: Texas
ZIP Code: 75790-3841
Phone: (903) 963-8681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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