Individual
DR. BARRY G GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3635 OLD COURT RD, SUITE 510, PIKESVILLE, MD 21208
(410) 484-5800
(410) 486-8939
Mailing address
3635 OLD COURT RD, SUITE 510, PIKESVILLE, MD 21208
(410) 484-5800
(410) 486-8939
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5431
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8420
BLUE CROSS BLUE SHIELD
MD
Enumeration date
09/16/2006
Last updated
07/08/2007
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