Individual
DR. JUSTIN THOMAS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2242 ASHLEY OAKS CIR, WESLEY CHAPEL, FL 33544-6404
(813) 991-5300
Mailing address
2242 ASHLEY OAKS CIR, WESLEY CHAPEL, FL 33544-6404
(813) 991-5300
(888) 520-4252
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN27000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121860900
—
FL
Enumeration date
06/09/2022
Last updated
08/15/2024
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