MEDICARE: DR. HARRIET KATHRYN MCGRAW D.D.S.

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	1223G0001X	General Practice Dentistry	2901011849	MI

General Provider Information

NPI Number	:	1760474548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRIET KATHRYN MCGRAW D.D.S.

Provider Business Mailing Address
First Line	:	112 E 3RD ST
Second Line	:
City	:	HARBOR SPRINGS
State	:	MI
Zip	:	49740-1533
Country	:	US
Telephone Number	:	231-526-2630
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 E 3RD ST
Second Line	:
City	:	HARBOR SPRINGS
State	:	MI
Zip	:	49740-1533
Country	:	US
Telephone Number	:	231-526-2630
Fax Number	:

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/09/2007

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