| Mark Graham, Dds, Inc. | |
|
520 La Gonda Way Ste 102 Danville CA 94526-1741 | |
| (925) 820-3000 | |
| Not Available |
| Full Name | Mark Graham, Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 520 La Gonda Way Ste 102, Danville, California |
| Authorized Official Name and Position | Mark Graham (DENTIST) |
| Authorized Official Contact | 9258203000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Graham, Dds, Inc. 520 La Gonda Way Ste 102 Danville CA 94526-1741 Ph: () - | Mark Graham, Dds, Inc. 520 La Gonda Way Ste 102 Danville CA 94526-1741 Ph: (925) 820-3000 |
| NPI Number | 1306578497 |
|---|---|
| Provider Enumeration Date | 06/28/2022 |
| Last Update Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306578497 | NPI | - | NPPES |
| 54870 | Other | CA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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