# GRAHAM FAMILY DENTAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497315261
- **Authorized official:** DR. RUSSELL GRAHAM DMD (OWNER)
- **Authorized official phone:** (520) 327-1205

## Contact information

- **Practice address:** 2935 N COUNTRY CLUB RD, TUCSON, AZ 85716-1911
- **Practice address phone:** (520) 327-1205
- **Practice address fax:** (520) 327-1294
- **Mailing address:** 2935 N COUNTRY CLUB RD, TUCSON, AZ 85716-1911
- **Mailing address phone:** (520) 327-1205
- **Mailing address fax:** (520) 327-1294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2019
- **Last updated:** 06/14/2019