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Individual

DR. CARMEN VILLASANTE GRAVES

Active
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Individual

DR. CARMEN VILLASANTE GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S, M.S

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
019.031010
IL
1223P0300X
Periodontics
Primary
021.002792
IL
1223P0300X
Periodontics
22154
ZZ
1223P0300X
Periodontics
32052
TX

Other

Enumeration date
06/11/2013
Last updated
06/06/2022
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