| Steven B. Graff-radford, B.d.s., Inc. | |
|
444 S San Vicente Blvd 1101 Los Angeles CA 90048-4165 | |
| (310) 423-9600 | |
| (213) 423-9610 |
| Full Name | Steven B. Graff-radford, B.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 444 S San Vicente Blvd, Los Angeles, California |
| Authorized Official Name and Position | Steven B. Graff-radford (PRESIDENT) |
| Authorized Official Contact | 6267956596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven B. Graff-radford, B.d.s., Inc. Po Box 60790 Pasadena CA 91116-6790 Ph: (626) 795-6596 | Steven B. Graff-radford, B.d.s., Inc. 444 S San Vicente Blvd 1101 Los Angeles CA 90048-4165 Ph: (310) 423-9600 |
| NPI Number | 1982719126 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 04/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982719126 | NPI | - | NPPES |
| G91924-01 | Medicaid | CA | |
| ZZZ62459Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34963 (California) | Primary |
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