Individual
DR. JASON RICHARD GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 PAVILION WAY STE G, SOUTHERN PINES, NC 28387-4539
(910) 684-3687
(910) 401-1918
Mailing address
100 PAVILION WAY STE G, SOUTHERN PINES, NC 28387-4539
(910) 684-3687
(910) 401-1918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9127
NC
Other
Enumeration date
06/13/2011
Last updated
10/17/2016
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