| Dr Edithann Graham PC | |
|
266 Avocado Ave Ste A El Cajon CA 92020-4670 | |
| (619) 440-2152 | |
| (619) 440-2693 |
| Full Name | Dr Edithann Graham PC |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 266 Avocado Ave Ste A, El Cajon, California |
| Authorized Official Name and Position | Edithann Graham (OWNER) |
| Authorized Official Contact | 6194402152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edithann Graham PC 266 Avocado Ave Ste A El Cajon CA 92020-4670 Ph: (619) 440-2152 | Dr Edithann Graham PC 266 Avocado Ave Ste A El Cajon CA 92020-4670 Ph: (619) 440-2152 |
| NPI Number | 1558956847 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558956847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (NU) | Primary |
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