MEDICARE: CHELSEA GRABARZ

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
1	122300000X	Dentist	30-024443	OH

General Provider Information

NPI Number	:	1386023299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA GRABARZ

Provider Business Mailing Address
First Line	:	8300 PRINCETON GLENDALE RD STE 203
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-1677
Country	:	US
Telephone Number	:	513-870-0700
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 PRINCETON GLENDALE RD STE 203
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-1677
Country	:	US
Telephone Number	:	513-870-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2015
Last Update Date	:	05/26/2015

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Directions to “ CHELSEA GRABARZ ” Practice Location

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