Individual
DR. ROBERT GRAHAM FITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1304 JOHNSON BLVD, MURRAY, KY 42071-2926
(270) 753-1691
Mailing address
1304 JOHNSON BLVD, MURRAY, KY 42071-2926
(270) 753-1691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8482
KY
1223G0001X
General Practice Dentistry
Primary
8482
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100017970
—
KY
Enumeration date
06/04/2007
Last updated
06/23/2008
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