Individual
DR. JAMES MALLARD GRAHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2937 LYNDALE AVE S, SUITE 202, MINNEAPOLIS, MN 55408-2171
(612) 827-7400
Mailing address
2937 LYNDALE AVE S, SUITE 202, MINNEAPOLIS, MN 55408-2171
(612) 827-7400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9958
MN
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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