DR. Stephanie Elaine Graham, D.M.D.

NPI #1962623363 in Sparta, Illinois

Provider Information

NPI Number: 1962623363
Entity Type: Individual
Name: DR. Stephanie Elaine Graham, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 530 E BROADWAY ST
City: Sparta
State: Illinois
ZIP Code: 62286-1816
Phone: (618) 443-4721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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