Individual
DR. CARL STEPHEN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
300 HOLLYWOOD BLVD SE, FORT WALTON BEACH, FL 32548-5727
(850) 243-4723
(850) 243-0184
Mailing address
2631 HIDDEN CREEK DRIVE, NAVARRE, FL 32566-9467
(850) 712-2307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21942
FL
Other
Enumeration date
07/19/2016
Last updated
03/17/2018
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