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Individual
DR. GRAHAM LEUPP
Active
Individual
DR. GRAHAM LEUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32737
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B32737
DENTI-CAL PROVIDER #
CA
Enumeration date
02/04/2010
Last updated
02/04/2010
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