Organization · Type 2 NPI

Matthew D Grace Dds, PLLC

Dental Clinic/Center · Tyler, TX

NPI number 1104397868 Active

Practice location

5621 S Broadway Ave
Tyler, TX 75703-4348

Call (903) 630-6313 Map

Mailing address

353 Vzcr 1519
Grand Saline, TX 75140-5744

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1104397868

Matthew D Grace Dds, PLLC's National Provider Identifier is 1104397868, issued on Dec 6, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tyler, TX. The record was last updated on Dec 6, 2018.