Edithann Jennings Graham DMD

NPI 1063490639 - Dentist - 1223P0300X

NPI Details
NPI 1063490639
Gender Female
Enumeration Date 01/04/2006
Last Updated 07/17/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
1806 CABLE ST
SAN DIEGO CA, 92107-3103, US
Phone (619) 226-4784
Fax (619) 226-3027
Business Location
1806 CABLE ST
SAN DIEGO CA, 92107-3103, US
Phone (619) 226-4784
Fax (619) 226-3027
Toxanomy
Taxonomy Code 1223P0300X
License State Arizona
License Number 5253
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According to our database, Dr. Edithann Jennings Graham DMD NPI is 1063490639, taxonomy code is 1223P0300X and license number is 5253, license state is located at Arizona. Edithann Jennings Graham DMD physically located at 1806 Cable St, San Diego CA, 92107-3103. NPI Number Edithann Jennings Graham DMD has the Individual type.

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1063490639 NPI number is provided on an as is basis without warranty of any kind. 1063490639 is maintained by the National Plan & Provider Enumeration System. The contents of Edithann Jennings Graham DMD are for informational purposes only.