ANTHONY GRAHAM

LAKE MARY, FL
NPI1457528267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN15163)
Enumeration Date2008-05-12
Last Update Date2008-05-12
Business Address
-- ANTHONY GRAHAM
2500 W LAKE MARY BLVD SUITE- 106
LAKE MARY, FL 32746-3501
Phone number: 407-328-6411
Mailing Address
-- ANTHONY GRAHAM
2502 N ROCKY POINT DR SUITE 1000- CREDENTIALING
TAMPA, FL 33607-1421
Phone number: 813-288-1999