Individual
ANASTASIA S GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
MCAS DENTAL, BLDG 598, BEAUFORT, SC 29904
(843) 228-7512
Mailing address
BHC MCAS DENTAL, BLDG 598, BEAUFORT, SC 29904
(943) 228-7512
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
11388
SC
124Q00000X
Dental Hygienist
Primary
DH26758
FL
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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