Individual
WHITE S GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1013 N 2ND ST, MONROE, LA 71201-5241
(318) 325-6427
Mailing address
1013 N 2ND ST, MONROE, LA 71201-5241
(318) 325-6427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2585
LA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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