Individual
DR. CHARLES EDWARD GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9001 GALENE DR, LOUISVILLE, KY 40299-1521
(502) 267-8176
(502) 267-8177
Mailing address
9001 GALENE DR, LOUISVILLE, KY 40299-1521
(502) 267-8176
(502) 267-8177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3559
KY
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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