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CHARLES GRACE, D.D.S
D.D.S
Dentist
NPI: 1992917207Individual
Specialties, Licenses & Credentials
DentistPrimary
Dentist
Code: 122300000X
D3522(ID)
Contact & Hours
- Address
- 850 S LATAH ST
BOISE, ID 83705 - Phone
- (208) 342-7714
Quick Facts
- NPI
- 1992917207
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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