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Contact Information

AMANDA B GRAU, DMD
10715 TIERRASANTA BLVD
SAN DIEGO, CA92124
 Phone: 513-777-7883
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for AMANDA B GRAU · (Female)

NPI Number 1063738920
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 04/15/2010
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 61277
  • KY License # 8998
  • OH License # 30023394
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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