| Graphit Dental | |
|
4190 Bonita Rd Ste 205 Bonita CA 91902-1340 | |
| (619) 475-4226 | |
| Not Available |
| Full Name | Graphit Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4190 Bonita Rd Ste 205, Bonita, California |
| Authorized Official Name and Position | Raivyn Marie Conway (DENTIST) |
| Authorized Official Contact | 6194754226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Graphit Dental 4190 Bonita Rd Ste 205 Bonita CA 91902-1340 Ph: (619) 475-4226 | Graphit Dental 4190 Bonita Rd Ste 205 Bonita CA 91902-1340 Ph: (619) 475-4226 |
| NPI Number | 1750966925 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 09/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750966925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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