Individual
BRAD AUSTIN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1857 TUCKER WAY, BOWLING GREEN, KY 40104
(270) 781-2952
(270) 793-0977
Mailing address
1857 TUCKER WAY, BOWLING GREEN, KY 40104
(270) 781-2952
(270) 797-0977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KY8362
KY
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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