Organization
NICOLE GRAVES, DDS, PC
Active
Other names
New Lenox Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE GRAVES DDS (DENTIST/OWNER)
(815) 418-6000
Entity
Organization
Contact information
Practice address
424 E LINCOLN HWY, NEW LENOX, IL 60451-1910
(815) 418-6000
Mailing address
424 E LINCOLN HIGHWAY, NEW LENOX, IL 60451
(815) 418-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028377
IL
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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