Walter a Grage DDS PC

NPI #1538255971 in Decatur, Georgia

Provider Information

NPI Number: 1538255971
Entity Type: Organization
Organization Name: Walter a Grage DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4324 COVINGTON HWY
City: Decatur
State: Georgia
ZIP Code: 30035
Phone: (404) 289-6454

Authorized Official

Name: DR. WALTER A GRAGE, DDS
Title: PRESIDENT
Phone: (404) 289-6454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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