Individual
DR. RANA DENISE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
521 N 11TH ST, ROOM 315, RICHMOND, VA 23298-5045
(804) 828-1790
(804) 828-0163
Mailing address
PO BOX 980566, PEDIATRIC DENTISTRY, RICHMOND, VA 23298-0566
(804) 828-1790
(804) 828-0163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401411505
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
08/11/2006
Last updated
07/19/2010
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