Grace Dental Pllc
NPI #1316477144 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1316477144
- Entity Type
- Organization
- Organization Name
- Grace Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 14, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 304 PROVIDENCE BLVD
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37042
- Phone
- (931) 648-4100
Authorized Official
- Name
- GRACE LEE, DMD
- Title
- OWNER
- Phone
- (931) 648-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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