Individual
DR. KORY GRAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1700 W CHARLESTON BLVD BLDG D, LAS VEGAS, NV 89102-2335
(858) 382-2633
Mailing address
12397 SHORELINE ECHO AVE, LAS VEGAS, NV 89138-6184
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7695
NV
122300000X
Dentist
LL-548-21
NV
1223G0001X
General Practice Dentistry
101397
CA
1223G0001X
General Practice Dentistry
33969
TX
Other
Enumeration date
06/14/2017
Last updated
03/05/2024
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