DR. Walter A Grage, DDS

NPI #1669567731 in Decatur, Georgia

Provider Information

NPI Number: 1669567731
Entity Type: Individual
Name: DR. Walter A Grage, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4324 COVINGTON HWY
City: Decatur
State: Georgia
ZIP Code: 30035-1208
Phone: (404) 289-6454

Specialties & Taxonomy Codes

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

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