Graham, Edithann Jennings

Graham, Edithann Jennings is an individual health care provider with primary practice located at 1806 Cable St , San Diego CA 92107-3103. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Graham, Edithann Jennings can be contacted via phone (619) 226-4784.

Contact Information

Primary practice address
1806 Cable St San Diego CA 92107-3103
Phone: (619) 226-4784
Fax: (619) 226-3027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 5253 Arizona
Dental Providers / Periodontics 1223P0300X CA56651 California

Profile Details

NPI number 1063490639
LBN Legal business name Graham, Edithann Jennings
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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