Individual
HASIFA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3771
(910) 484-8884
Mailing address
313 GLENOLA ST, FAYETTEVILLE, NC 28311-3244
(910) 745-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10548
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235559071
NPI
—
Enumeration date
04/20/2014
Last updated
12/10/2025
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