Individual
DR. EDWARD THOMAS GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
602 LINCOLN CTR, STOCKTON, CA 95207-2639
(209) 477-4089
(209) 477-6729
Mailing address
602 LINCOLN CTR, STOCKTON, CA 95207-2639
(209) 477-4089
(209) 477-6729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29808
CA
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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