DR. Joshua Austin De Graffenried, D.D.S

NPI #1104224930 in Tyler, Texas

Provider Information

NPI Number: 1104224930
Entity Type: Individual
Name: DR. Joshua Austin De Graffenried, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Dec 10, 2014
Last Updated: Apr 14, 2021

Practice Location

Address: 3201 PALUXY DR
City: Tyler
State: Texas
ZIP Code: 75701-8349
Phone: (903) 593-5161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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