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1164974184
MARK GRAVES
MADISONVILLE, KY
NPI
1164974184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: KY 9858)
Enumeration Date
2016-10-25
Last Update Date
2016-11-17
Business Address
Dr. MARK GRAVES DMD
1175 S MAIN ST
MADISONVILLE, KY 42431-3337
Phone number: 270-383-5511
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Mailing Address
Dr. MARK GRAVES DMD
969 IRONWOOD DR
BOWLING GREEN, KY 42103-1523
Phone number: 270-202-8168
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