Walter A Grage Dds Pc

NPI 1538255971 - Dentist - 1223G0001X

NPI Details
NPI 1538255971
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WALTER A WALTER
Position PRESIDENT
Phone (404) 289-6454
Fax (404) 289-2570
Practice Location
4324 COVINGTON HWY
DECATUR GA, 30035, US
Phone (404) 289-6454
Fax (404) 289-2570
Business Location
4324 COVINGTON HWY
DECATUR GA, 30035, US
Phone (404) 289-6454
Fax (404) 289-2570
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number 6216
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According to our database, Walter A Grage Dds Pc NPI is 1538255971, taxonomy code is 1223G0001X and license number is 6216, license state is located at Georgia. Walter A Grage Dds Pc physically located at 4324 Covington Hwy, Decatur GA, 30035. NPI Number 1033115704 has the healthcare provider type.

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1538255971 NPI number is provided on an as is basis without warranty of any kind. 1538255971 is maintained by the National Plan & Provider Enumeration System. The contents of Walter A Grage Dds Pc are for informational purposes only.