Individual
DR. MARK GRAVES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1175 S MAIN ST, MADISONVILLE, KY 42431-3337
(270) 383-5511
Mailing address
969 IRONWOOD DR, BOWLING GREEN, KY 42103-1523
(270) 202-8168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9858
KY
Other
Enumeration date
10/25/2016
Last updated
11/17/2016
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