Graham Family Dental Care LLC
Dentist, General Practice in Tucson, AZ. Organization (NPI-2).
NPI number1497315261
StatusActive
Last updated in NPPESJun 14, 2019
Details
- NPI
- 1497315261
- Entity type
- Organization (NPI-2)
- Legal business name
- Graham Family Dental Care LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2019
- Last updated
- Jun 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
2935 N Country Club RdTucson, AZ 85716-1911
Phone 520-327-1205 · Fax 520-327-1294
Mailing address
2935 N Country Club RdTucson, AZ 85716-1911
Phone 520-327-1205 · Fax 520-327-1294
Authorized official
Russell Graham
Owner
5203271205
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