Individual
DR. DAVID ALAN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
501 W POPLAR ST, ELIZABETHTOWN, KY 42701-2410
(270) 765-6156
(270) 765-6157
Mailing address
501 W POPLAR ST, ELIZABETHTOWN, KY 42701-2410
(270) 765-6156
(270) 765-6157
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5285
KY
208600000X
Surgery Physician
5285
KY
Other
Enumeration date
08/10/2006
Last updated
07/02/2008
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