Individual
DR. GEORGE G GRAHAM JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3424 S CULPEPPER CT, SPRINGFIELD, MO 65804-3755
(417) 889-4746
(417) 889-1398
Mailing address
3424 S CULPEPPER CT, SPRINGFIELD, MO 65804-3755
(417) 889-4746
(417) 889-1398
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14368
MO
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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