Robert Mark Grace, DDS

NPI #1710927843 in La Porte, Indiana

Provider Information

NPI Number
1710927843
Entity Type
Individual
Name
Robert Mark Grace, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Dental Public Health
Credential
DDS
Enumeration Date
Jun 7, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
COMMUNITY HEALTH CENTER
Address 2
400 TEAGARDEN
State
Indiana
ZIP Code
46350-3175
Phone
(219) 326-2403

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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