Graham, Theodore
Graham, Theodore is an individual health care provider with primary practice located at 626 Second Avenue , Okanogan WA 98840-9679. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Graham, Theodore can be contacted via phone (509) 422-5700.Contact Information
Primary practice address
626 Second Avenue
Okanogan WA 98840-9679
Phone: (509) 422-5700
Fax: (509) 422-7680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE60432317 | Washington |
Profile Details
| NPI number | 1417372913 |
|---|---|
| LBN Legal business name | Graham, Theodore |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2014 |
| Last updated | Feb 20th, 2014 - about 10 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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