WHITE S GRAVES

MONROE, LA
NPI1124151972
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  2585)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
-- WHITE S GRAVES D.O.
1013 N 2ND ST
MONROE, LA 71201-5241
Phone number: 318-325-6427
Mailing Address
-- WHITE S GRAVES D.O.
1013 N 2ND ST
MONROE, LA 71201-5241
Phone number: 318-325-6427
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