| Loretta Prosser Graham, Dds, Pc | |
|
15410 Warwick Blvd Newport News VA 23608-1576 | |
| (757) 886-9169 | |
| (757) 874-8892 |
| Full Name | Loretta Prosser Graham, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15410 Warwick Blvd, Newport News, Virginia |
| Authorized Official Name and Position | Loretta P Graham (OWNER/CEO) |
| Authorized Official Contact | 7278869169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loretta Prosser Graham, Dds, Pc 15410 Warwick Blvd Newport News VA 23608-1576 Ph: (757) 886-9169 | Loretta Prosser Graham, Dds, Pc 15410 Warwick Blvd Newport News VA 23608-1576 Ph: (757) 886-9169 |
| NPI Number | 1295822989 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295822989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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