Elijah Jacob Grayson
Elijah Jacob Grayson is a Dental Assistant in Malmstrom AFB, Montana. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
7300 N Perimeter RdMalmstrom AFB, MT 59402-6701
Phone: (406) 731-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Assistant (primary) | Taxonomy 126800000X |
|---|
Record details
| NPI number | 1356917850 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 3, 2021 |
| Last updated in NPPES | June 3, 2021 |
| Certification date | June 3, 2021 |
| Mailing address | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 |
Other providers in Malmstrom AFB
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Mr. Harrison Burkardt
21 77th St N, Malmstrom AFB, MT 59402-7538 · (406) 731-4455
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Mayra Y Corona
7300 N Perimeter Rd, Malmstrom AFB, MT 59402-6701 · (406) 731-2511