Individual
DR. DALLIN A DEGRAFFENRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1339 S 9TH ST, LAKEVIEW, OR 97630-1919
(435) 979-0351
Mailing address
1339 S 9TH ST, LAKEVIEW, OR 97630-1919
(435) 979-0351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11842
OR
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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