Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dental |
261QD0000X |
| NPI # | 1417790502 |
| LBN Legal business name | GRAVETTE FAMILY DENTAL |
| Authorized official | BENJAMIN BOWMAN - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/17/2024 |
| Last updated | 06/17/2024 - More than a year ago |
| Identifiers | n/a |
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GRAVETTE FAMILY DENTAL
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GRAVETTE FAMILY DENTAL