Organization
LORETTA PROSSER GRAHAM, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA P GRAHAM DDS (OWNER/CEO)
(727) 886-9169
Entity
Organization
Contact information
Practice address
15410 WARWICK BLVD, NEWPORT NEWS, VA 23608-1576
(757) 886-9169
(757) 874-8892
Mailing address
15410 WARWICK BLVD, NEWPORT NEWS, VA 23608-1576
(757) 886-9169
(757) 874-8892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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