Individual
DR. JAMES BRADLEY GRAHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1067 TWINING DR, BARKSDALE AFB, LA 71110-2486
(318) 456-6568
(318) 456-6656
Mailing address
3218 STOCKWELL RD, BOSSIER CITY, LA 71111-5751
(318) 752-3031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2890
WV
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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