Grace Setiawan, DDS

NPI #1659524452 in Mesquite, Texas

Provider Information

NPI Number: 1659524452
Entity Type: Individual
Name: Grace Setiawan, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 24, 2008
Last Updated: Mar 21, 2011

Practice Location

Address: 5115 N GALLOWAY AVE STE 301
City: Mesquite
State: Texas
ZIP Code: 75150-7535
Phone: (972) 686-6477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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