Loretta Prosser Graham, Dds, Pc

NPI 1295822989 - Dentist - 1223G0001X

NPI Details
NPI 1295822989
Enumeration Date 10/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LORETTA P LORETTA
Position OWNER/CEO
Phone (757) 886-9169
Fax (757) 874-8892
Practice Location
15410 WARWICK BLVD
NEWPORT NEWS VA, 23608-1576, US
Phone (757) 886-9169
Fax (757) 874-8892
Business Location
15410 WARWICK BLVD
NEWPORT NEWS VA, 23608-1576, US
Phone (757) 886-9169
Fax (757) 874-8892
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Loretta Prosser Graham, Dds, Pc NPI is 1295822989, taxonomy code is 1223G0001X Loretta Prosser Graham, Dds, Pc physically located at 15410 Warwick Blvd, Newport News VA, 23608-1576. NPI Number 1033115704 has the healthcare provider type.

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1295822989 NPI number is provided on an as is basis without warranty of any kind. 1295822989 is maintained by the National Plan & Provider Enumeration System. The contents of Loretta Prosser Graham, Dds, Pc are for informational purposes only.