Organization
GRAHAM FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAITLIN KERN GRAHAM DDS (DENTIST/OWNER)
(870) 821-9212
Entity
Organization
Contact information
Practice address
326 N ROSSER ST, FORREST CITY, AR 72335-3247
(870) 633-4591
Mailing address
6 BIRNAMWOOD ST, FORREST CITY, AR 72335-2415
(870) 821-9212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4264
ARKANSAS STATE BOARD OF DENTAL EXAMINERS
AR
Enumeration date
12/15/2020
Last updated
12/15/2020
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