NPI | 1154583987 |
---|---|
Other Name | TREY GRAF |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2011018803) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 8610) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2012-06-28 |