Individual
DR. RONTAE MARVELL EDWARD GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3801 S OLIVE ST, PINE BLUFF, AR 71603
(870) 536-6917
(870) 536-4404
Mailing address
3801 S OLIVE ST, PINE BLUFF, AR 71603
(870) 536-6917
(870) 536-4404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4677
AR
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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