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Organization
STEVEN B. GRAFF-RADFORD, B.D.S., INC.
Active
Organization
STEVEN B. GRAFF-RADFORD, B.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN B. GRAFF-RADFORD D.D.S. (PRESIDENT)
(626) 795-6596
Entity
Organization
Contact information
Practice address
444 S SAN VICENTE BLVD, 1101, LOS ANGELES, CA 90048-4165
(310) 423-9600
(213) 423-9610
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G91924-01
—
CA
01
—
ZZZ62459Z
BLUE SHIELD
CA
Enumeration date
08/20/2006
Last updated
04/18/2014
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