THEODORE GRAHAM, D.D.S.
Dentist
Active
Individual
NPI: 1417372913
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | DE60432317 (WA) |
Frequently Asked Questions
NPI 1417372913 is the National Provider Identifier for THEODORE GRAHAM, D.D.S., a Dentist provider located in Okanogan, WA. This NPI was enumerated on February 20, 2014.
THEODORE GRAHAM, D.D.S. practices at 626 SECOND AVENUE, Okanogan, WA 98840.
Quick Facts
- NPI
- 1417372913
- Type
- Individual
- Enumerated
- Feb 20, 2014
- Last Updated
- Feb 20, 2014
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OKANOGAN SCHOOL DISTRICT #105
Local Education Agency (LEA)