Organization
DR. ANDREW E. GRAVES D.M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW E GRAVES (PRESIDENT)
(205) 633-3636
Entity
Organization
Contact information
Practice address
621 HELEN KELLER BLVD STE 300, TUSCALOOSA, AL 35404-2962
(205) 633-3636
(205) 633-3672
Mailing address
621 HELEN KELLER BLVD STE 300, TUSCALOOSA, AL 35404-2962
(205) 633-3636
(205) 633-3672
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4638
AL
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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