Gabriel Grisham - Fpo, AP - NPI 1720570393

Gabriel Grisham

Oral and Maxillofacial Surgery (Dentist) in Fpo, N/A

NPI 1720570393

Gabriel Grisham is a Oral and Maxillofacial Surgery (Dentist) based in Fpo, and is specialized in Oral and Maxillofacial Surgery. Gabriel Grisham practices in Fpo, . The NPI Number for Gabriel Grisham is 1720570393 and holds a License No. 0401416112 (N/A).

The current practice location address for Gabriel Grisham is Psc 475, Fpo, and can be reached out via phone at 301-875-4494.

Location: Psc 475, Fpo, , 96350-9998

NPI Number

1720570393

Provider Name

Gabriel Grisham

Credential

Provider Entity Type

Individual

Gender

Male

Address

Psc 475, Fpo, , 96350-9998

Phone Number

301-875-4494

Fax Number

Provider Enumeration Date

05/30/2018

Last Update Date

03/10/2024

Address

Psc 475

City

Fpo

State

Zip

96350-9998

Phone Number

301-875-4494

Fax Number

Address

Psc 475

City

Fpo

State

Zip

96350-9998

Phone Number

301-875-4494

Fax Number

Type

Dental Providers

Classification

Dentist

Speciality

Oral and Maxillofacial Surgery

Taxonomy

1223S0112X

License No.

0401416112 (Virginia)

Definition

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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