Individual
DR. STUART LEE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209216
ANTHEM BCBS
VA
01
—
347288
UNITED CONCORDIA
—
01
—
64390001
CAREFIRST BCBS
DC
Enumeration date
01/29/2007
Last updated
07/08/2007
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