Individual
DR. VIVIAN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
377 JERSEY AVE, SUITE 450, JERSEY CITY, NJ 07302-4393
(201) 369-9080
Mailing address
377 JERSEY AVE, SUITE 450, JERSEY CITY, NJ 07302-4393
(201) 369-9080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
052417
NY
122300000X
Dentist
Primary
22DI02330600
NJ
Other
Enumeration date
06/23/2007
Last updated
04/02/2012
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