DR. Brendan David Graham, D.M.D

NPI #1962717207 in Streator, Illinois

Provider Information

NPI Number: 1962717207
Entity Type: Individual
Name: DR. Brendan David Graham, D.M.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D
Enumeration Date: Aug 11, 2010
Last Updated: Aug 11, 2010

Practice Location

Address: 318 N BLOOMINGTON ST
City: Streator
State: Illinois
ZIP Code: 61364-2218
Phone: (815) 672-2647

Specialties & Taxonomy Codes

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

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