Individual
TROY GRAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(858) 248-6001
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(858) 248-6001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8018
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2023
Last updated
07/24/2024
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