Organization
STUART L. GRAVES DENTAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART L GRAVES (OWNER/PRESIDENT)
(301) 881-3840
Entity
Organization
Contact information
Practice address
11200 ROCKVILLE PIKE STE 115, ROCKVILLE, MD 20852-7114
(301) 881-3840
Mailing address
11200 ROCKVILLE PIKE STE 115, ROCKVILLE, MD 20852-7114
(301) 881-3840
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
14694
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14447
MD
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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