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Individual

LAKECIA GRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DH

Contact information

Practice address
626 SNYDER AVE, PHILA, PA 19148-2419
(215) 334-4900
(215) 334-9721
Mailing address
432 N 6TH ST, PHILA, PA 19123-4004
(215) 925-2400
(215) 925-4201

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH012564L
PA

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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