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Dr. Edithann Jennings Graham, DMD
Periodontist in San Diego, California
NPI 1063490639

Edithann Jennings Graham is a Periodontist based in San Diego, CA and is specialized in Periodontics. Edithann Jennings Graham practices in San Diego, CA and has the professional credentials of DMD. The NPI Number for Edithann Jennings Graham is 1063490639 and holds a License No. 5253 (California).

The current practice location address for Edithann Jennings Graham is 1806 Cable St, San Diego, CA and can be reached out via phone at 619-226-4784 and via fax at 619-226-3027.

Location: 1806 Cable St, San Diego, CA, 92107-3103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063490639
Provider Name
Edithann Jennings Graham
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1806 Cable St, San Diego, CA, 92107-3103
Phone Number
619-226-4784
Fax Number
619-226-3027
Provider Enumeration Date
01/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1806 Cable St
City
San Diego
State
California
Zip
92107-3103
Phone Number
619-226-4784
Fax Number
619-226-3027
person
Provider Business Mailing Address Details
Address
1806 Cable St
City
San Diego
State
California
Zip
92107-3103
Phone Number
619-226-4784
Fax Number
619-226-3027
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
5253 (Arizona)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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