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Jared Richard Graham, DDS

Dentist, General Practice in Norwood, OH. Individual provider (NPI-1).

NPI number1093371387
StatusActive
Last updated in NPPESMay 13, 2019

Details

NPI
1093371387
Entity type
Individual (NPI-1)
Name
Jared Richard Graham
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2019
Last updated
May 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice30.025775OHYes

Practice location

5258 Montgomery Rd
Norwood, OH 45212-1648

Phone 513-531-2338 · Fax 513-841-5545

Mailing address

5258 Montgomery Rd
Norwood, OH 45212-1648

Phone 513-531-2338 · Fax 513-841-5545

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