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Individual

DR. DENNIS WILLIAM GRAHAM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3606 MAIN ST, SUITE 201, VANCOUVER, WA 98663-2257
(360) 696-1686
(360) 696-1688
Mailing address
3606 MAIN ST, SUITE 201, VANCOUVER, WA 98663-2257
(360) 696-1686
(360) 696-1688

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5255
WA
1223G0001X
General Practice Dentistry
5553
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5557400
WA
Enumeration date
07/27/2005
Last updated
07/08/2007
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