Provider Demographics
NPI:1730226424
Name:MARHIC, GRACE WU (DDS)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:WU
Last Name:MARHIC
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:GRACE
Other - Middle Name:EDNA
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:495 TANACREST DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2838
Mailing Address - Country:US
Mailing Address - Phone:404-226-8035
Mailing Address - Fax:
Practice Address - Street 1:587 VIRGINIA AVE NE # 5
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-3695
Practice Address - Country:US
Practice Address - Phone:404-389-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN012545122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist