Individual
DANA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 S 40TH ST, EVANS BUILDING, PHILADELPHIA, PA 19104-6030
(215) 898-9068
Mailing address
240 S 40TH ST, EVANS BUILDING, PHILADELPHIA, PA 19104-6030
(215) 898-9068
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
A14701
MA
1223P0300X
Periodontics
Primary
DS0244537L
PA
Other
Enumeration date
01/25/2007
Last updated
10/18/2016
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