Zachary Adam Graham DDS

NPI 1639208093 - Dentist - 1223G0001X

NPI Details
NPI 1639208093
Gender Male
Enumeration Date 03/03/2007
Last Updated 11/02/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9350 UNIVERSITY AVE
SUITE 128
WEST DES MOINES IA, 50266, US
Phone (515) 987-0680
Fax (515) 987-0256
Business Location
9350 UNIVERSITY AVE
SUITE 128
WEST DES MOINES IA, 50266, US
Phone (515) 987-0680
Fax (515) 987-0256
Toxanomy
Taxonomy Code 1223G0001X
License State Wisconsin
License Number 5484-015
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According to our database, Dr. Zachary Adam Graham DDS NPI is 1639208093, taxonomy code is 1223G0001X and license number is 5484-015, license state is located at Wisconsin. Zachary Adam Graham DDS physically located at 9350 University Ave, West Des Moines IA, 50266. NPI Number Zachary Adam Graham DDS has the Individual type.

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1639208093 NPI number is provided on an as is basis without warranty of any kind. 1639208093 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Adam Graham DDS are for informational purposes only.