Individual
NATHAN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
949 N 940 W, OREM, UT 84057-7704
(801) 318-6994
(435) 657-1707
Mailing address
949 N 940 W, OREM, UT 84057-7704
(801) 318-6994
(435) 657-1707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9396502
UT
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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