Grace Family Dental

NPI #1982325668 in Longview, Washington

Provider Information

NPI Number: 1982325668
Entity Type: Organization
Organization Name: Grace Family Dental
Primary Specialty: Dentist
Enumeration Date: Sep 9, 2022
Last Updated: Sep 9, 2022

Practice Location

Address: 1538 11TH AVE
City: Longview
State: Washington
ZIP Code: 98632-4123
Phone: (323) 804-1324

Authorized Official

Name: DR. HAMID AZIZI, DDS
Title: OWNER
Phone: (323) 804-1324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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