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Mark Graham, Dds, Inc.
Dental Clinic/Center in Danville, California
NPI 1306578497

Mark Graham, Dds, Inc. is a Dental Clinic/Center based in Danville, CA and is specialized in Dental. Mark Graham, Dds, Inc. practices in Danville, CA. The NPI Number for Mark Graham, Dds, Inc. is 1306578497 and holds a License No. (California).

The current practice location address for Mark Graham, Dds, Inc. is 520 La Gonda Way Ste 102, Danville, CA and can be reached out via phone at 925-820-3000.

Location: 520 La Gonda Way Ste 102, Danville, CA, 94526-1741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306578497
Provider Name
Mark Graham, Dds, Inc.
Credential
Provider Entity Type
Organization
Address
520 La Gonda Way Ste 102, Danville, CA, 94526-1741
Phone Number
925-820-3000
Fax Number
Provider Enumeration Date
06/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54870 01 CA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
520 La Gonda Way Ste 102
City
Danville
State
California
Zip
94526-1741
Phone Number
925-820-3000
Fax Number
person
Provider Business Mailing Address Details
Address
520 La Gonda Way Ste 102
City
Danville
State
California
Zip
94526-1741
Phone Number
925-820-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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