Individual
MICHAEL D GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 CAYLOR NICKEL SQ, BLUFFTON, IN 46714-2529
(260) 824-3500
(260) 919-3419
Mailing address
1 CAYLOR NICKEL SQ, BLUFFTON, IN 46714-2529
(260) 824-3500
(260) 919-3419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007718A
IN
Other
Enumeration date
06/15/2006
Last updated
10/12/2007
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