Organization
RICAHRD E. GRAHAM DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD EDWIN GRAHAM (OWNER)
(914) 772-7703
Entity
Organization
Contact information
Practice address
6400 MONROE-WEDDINGTON RD., SUITE D, WESLEY CHAPEL, NC 28104
(973) 906-3191
Mailing address
6400 WEDDINGTON MONROE RD./ RT. 84, SUITE D, WESLEY CHAPEL, NC 28104
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8498
NC
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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