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Organization
JENNIFER L. GRAVES, D.D.S., INC.
Active
Organization
JENNIFER L. GRAVES, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN GRAVES D.D.S. (OWNER)
(805) 557-0100
Entity
Organization
Contact information
Practice address
331 S MOORPARK RD, THOUSAND OAKS, CA 91361-1008
(805) 557-0100
(805) 557-0200
Mailing address
331 S MOORPARK RD, THOUSAND OAKS, CA 91361-1008
(805) 557-0100
(805) 557-0200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54658
CA
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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