Dr. Charles Edward Graham, DMD
Dentist in Louisville, KY. Individual provider (NPI-1).
NPI number1265635692
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1265635692
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Edward Graham
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3559 | KY | Yes |
Practice location
9001 Galene DrLouisville, KY 40299-1521
Phone 502-267-8176 · Fax 502-267-8177
Mailing address
9001 Galene DrLouisville, KY 40299-1521
Phone 502-267-8176 · Fax 502-267-8177
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