1417961434
Everything you always wanted to know about
DR.
DAI
J
GRACE
DDS, MSD
but were afraid to ask.
DR.
DAI
J
GRACE
DDS, MSD
You can also download the this 1417961434 data report as
csv |
excel |
json |
xml
| Provider Prefix |
Provider Last Name |
Provider Middle Name |
Provider First Name |
Provider Credential |
DR. |
DAI |
J |
GRACE |
DDS, MSD |
- Gender:
- Female
- Enumeration date:
- 2006-07-27
- Last update date:
- 2012-10-25
- Current as of:
- Is sole proprietor?:
- No
- Is organization subpart?:
- No
Identifiers
| identifier |
description |
issuer |
state |
|
|
|
|
Taxonomies
| Taxonomy |
State |
License Number |
Primary? |
|
1223P0300X Periodontics
|
FL |
DN9958 |
Y |
Phone Numbers
| Type |
Number |
| Mailing Address Telephone Number |
2394350880 |
| Practice Location Address Telephone Number |
2394350880 |
| Mailing Address Fax Number |
2394350889 |
| Practice Location Address Fax Number |
2394350889 |
Addresses
| Type |
Address |
City |
State |
Postal |
Country |
| Mailing Address |
3200 BAILEY LN STE 130 |
NAPLES |
FL |
34105 |
FL |
| Practice Location Address |
3200 BAILEY LN STE 130 |
NAPLES |
FL |
34105 |
FL |