Billy J Graham

NPI #1952417040 in Van Buren, Arkansas

Provider Information

NPI Number: 1952417040
Entity Type: Organization
Organization Name: Billy J Graham
Primary Specialty: Dentist
Enumeration Date: Aug 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 611 JEFFERSON ST
City: Van Buren
State: Arkansas
ZIP Code: 72956
Phone: (479) 474-2701

Authorized Official

Name: BILLY JOE GRAHAM, DDS
Title: OWNER/DENTIST
Phone: (479) 474-2701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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