White S Graves, D.O.
Dentist, General Practice in Monroe, LA. Individual provider (NPI-1).
NPI number1124151972
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124151972
- Entity type
- Individual (NPI-1)
- Name
- White S Graves
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2585 | LA | Yes |
Practice location
1013 N 2nd StMonroe, LA 71201-5241
Phone 318-325-6427
Mailing address
1013 N 2nd StMonroe, LA 71201-5241
Phone 318-325-6427
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