Organization
GRAHAM FAMILY DENTAL CARE, PLLC
Active
Other names
Graham Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
10221 198TH ST E, GRAHAM, WA 98338-8038
(253) 875-2900
(253) 875-7306
Mailing address
10221 198TH ST E, GRAHAM, WA 98338-8038
(253) 875-2900
(253) 875-7306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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