| Adriane Graham, Dds-a Professional Dental Corporation | |
|
128 N Locust St Inglewood CA 90301 | |
| (310) 742-6088 | |
| (310) 742-6456 |
| Full Name | Adriane Graham, Dds-a Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 128 N Locust St, Inglewood, California |
| Authorized Official Name and Position | Adriane Graham (PRESIDENT) |
| Authorized Official Contact | 3107426088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adriane Graham, Dds-a Professional Dental Corporation 128 N Locust St Inglewood CA 90301-1811 Ph: (310) 742-6088 | Adriane Graham, Dds-a Professional Dental Corporation 128 N Locust St Inglewood CA 90301 Ph: (310) 742-6088 |
| NPI Number | 1083056022 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 07/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083056022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44404 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | 44404 (California) | Primary |
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