Individual
JEFFERY ROBERT GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19 ROTARY WAY, VALLEJO, CA 94591-8475
(707) 642-0433
(707) 642-5032
Mailing address
19 ROTARY WAY, VALLEJO, CA 94591-8475
(707) 642-0433
(707) 642-5032
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
30918
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
30918
CA
Other
Enumeration date
12/23/2005
Last updated
08/22/2025
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