Individual
GRAHAM L HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1245 SE 3RD ST STE A1, BEND, OR 97702-2162
(541) 318-5688
Mailing address
2650 21ST ST STE 1, SACRAMENTO, CA 95818-2539
(916) 277-8055
(916) 266-7513
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
100261
CA
1223P0221X
Pediatric Dentistry
D11939
OR
1223P0221X
Pediatric Dentistry
DE60540505
WA
Other
Enumeration date
04/16/2012
Last updated
04/24/2024
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