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NPI Code Detail

MEDICARE: DR. NORMAN J GRAULICH DMD

MEDICARE:  DR. NORMAN J GRAULICH  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDS037273PA

General Provider Information

NPI Number : 1134483753
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORMAN J GRAULICH DMD
Provider Business Mailing Address
First Line : PO BOX 507
Second Line : 883 N BETHLEHEM PIKE
City : SPRING HOUSE
State : PA
Zip : 19477-0507
Country : US
Telephone Number : 215-646-8887
Fax Number : 215-646-8891
Provider Business Practice Location Address
First Line : 883 N BETHLEHEM PIKE
Second Line :
City : SPRING HOUSE
State : PA
Zip : 19477-0507
Country : US
Telephone Number : 215-646-8887
Fax Number : 215-646-8891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2012
Last Update Date : 06/28/2012

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Directions to “ DR. NORMAN J GRAULICH DMD” Practice Location

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