Anthony Graham

NPI #1457528267 in Lake Mary, Florida

Provider Information

NPI Number: 1457528267
Entity Type: Individual
Name: Anthony Graham
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 12, 2008
Last Updated: May 12, 2008

Practice Location

Address: 2500 W LAKE MARY BLVD
Address 2: SUITE- 106
City: Lake Mary
State: Florida
ZIP Code: 32746-3501
Phone: (407) 328-6411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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