Dr. Stuart Lee Graves, DDS
Dentist, Oral and Maxillofacial Surgery in Burke, VA. Individual provider (NPI-1).
NPI number1003952003
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003952003
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stuart Lee Graves
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 401005268 | VA | Yes |
Practice location
5206 Lyngate CtBurke, VA 22015-1631
Phone 703-425-5010 · Fax 703-323-7287
Mailing address
5206 Lyngate CtBurke, VA 22015-1631
Phone 703-425-5010 · Fax 703-323-7287
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