Dr. Robert Joseph Grace, DDS
Dentist, General Practice in New York, NY. Individual provider (NPI-1).
NPI number1114130960
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114130960
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Joseph Grace
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 033567 | NY | Yes |
Practice location
158 E 115th StSuite 222
New York, NY 10029-2031
Phone 212-360-5941
Mailing address
416 W 151st StApt. 1a
New York, NY 10031-1901
Phone 212-690-8082
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