Organization
DR NATHAN GRAVES AND ASSOCIATES PLLC
Active
Other names
Myrtle Grove Implant and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN GRAVES DMD (OWNER)
(910) 742-0664
Entity
Organization
Contact information
Practice address
5920 CAROLINA BEACH RD STE 140, WILMINGTON, NC 28412-3365
(910) 742-0664
Mailing address
7617 CLARK HILL RD, WILMINGTON, NC 28412-3459
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10216
NC
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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