Organization
GRAHAM FAMILY DENTAL CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN GRAHAM DDS (PRES)
(386) 740-8282
Entity
Organization
Contact information
Practice address
646 W PLYMOUTH AVE, DELAND, FL 32720-3200
(386) 740-8282
Mailing address
646 W PLYMOUTH AVE, DELAND, FL 32720-3200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2012
Last updated
02/05/2012
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