Individual
CAITLIN K GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
326 N ROSSER ST, FORREST CITY, AR 72335-3247
(870) 633-4591
(870) 633-8460
Mailing address
326 N ROSSER ST, FORREST CITY, AR 72335-3247
(870) 633-4591
(870) 633-8460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4264
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4264
ARKANSAS STATE BOARD OF DENTAL EXAMINERS
AR
Enumeration date
05/24/2018
Last updated
01/27/2021
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