Provider Demographics
NPI:1801855325
Name:GRABILL, LAURENE ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAURENE
Middle Name:ANN
Last Name:GRABILL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 WILMONT MEWS
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-3206
Mailing Address - Country:US
Mailing Address - Phone:610-696-3446
Mailing Address - Fax:610-692-7457
Practice Address - Street 1:14 WILMONT MEWS
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-3206
Practice Address - Country:US
Practice Address - Phone:610-696-3446
Practice Address - Fax:610-692-7457
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS030140L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice