Individual
DR. DEJON GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
515 OGDEN ST, SUITE B, SOMERSET, KY 42501-1735
(606) 679-4391
Mailing address
515 OGDEN ST, SUITE B, SOMERSET, KY 42501-1735
(606) 679-4391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9369
KY
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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