Organization
DR. STUART L. GRAVES, DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA SMITH (OFFICE ADMINISTRATOR)
(703) 425-5010
Entity
Organization
Contact information
Practice address
5206 LYNGATE CT, BURKE, VA 22015-1631
(703) 425-5010
(703) 323-7287
Mailing address
5206 LYNGATE CT, BURKE, VA 22015-1631
(703) 425-5010
(703) 323-7287
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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