Theodore Graham, D.D.S.

NPI #1417372913 in Okanogan, Washington

Provider Information

NPI Number: 1417372913
Entity Type: Individual
Name: Theodore Graham, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 20, 2014
Last Updated: Feb 20, 2014

Practice Location

Address: 626 SECOND AVENUE
City: Okanogan
State: Washington
ZIP Code: 98840-9679
Phone: (509) 422-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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