DR. Mark Graves II, DMD

NPI #1164974184 in Madisonville, Kentucky

Provider Information

NPI Number: 1164974184
Entity Type: Individual
Name: DR. Mark Graves II, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Oct 25, 2016
Last Updated: Nov 17, 2016

Practice Location

Address: 1175 S MAIN ST
City: Madisonville
State: Kentucky
ZIP Code: 42431-3337
Phone: (270) 383-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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