Individual
DEREK O GRABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 E DIAMOND AVE, EVANSVILLE, IN 47711-3714
(812) 461-2365
Mailing address
400 E DIAMOND AVE, EVANSVILLE, IN 47711-3714
(812) 461-2365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011289A
IN
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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