Individual
DR. WILLIAM JAMES GRAHAM IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
BLDG B-6837 NORMANDY DR, FORT BRAGG, NC 28310-0001
(910) 396-2607
Mailing address
130 PINE BRANCH CT, SOUTHERN PINES, NC 28387-4974
(609) 501-0424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12021
NC
1223G0001X
General Practice Dentistry
12021
NJ
Other
Enumeration date
09/21/2020
Last updated
03/15/2023
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