Individual
DEBBIE LEE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
620 E 2100 S, SALT LAKE CITY, UT 84106-1828
(801) 466-6645
(801) 466-6649
Mailing address
620 E 2100 S, SALT LAKE CITY, UT 84106-1828
(801) 466-6645
(801) 466-6649
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7906602
UT
Other
Enumeration date
01/09/2007
Last updated
09/28/2011
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