Individual provider · Type 1 NPI

Kristine Lazar Grace, DDS, MS

Oral and Maxillofacial Surgery (Dentist) · Puyallup, WA

NPI number 1407978281 Active

Practice location

11201 88th Ave E, #110
Puyallup, WA 98373-3802

Call (253) 445-0022 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDE00008652 (WA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1407978281

Kristine Lazar Grace, DDS, MS's National Provider Identifier is 1407978281, issued on Apr 4, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Puyallup, WA. The record was last updated on Jul 8, 2007.