LYDIA MARIE GRAVES

FORT CAMPBELL, KY
NPI1972341642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: KY  11136)
Enumeration Date2024-07-17
Last Update Date2024-07-17
Business Address
LYDIA MARIE GRAVES DMD
6145 DESERT STORM AVE
FORT CAMPBELL, KY 42223-5558
Phone number: 270-412-2787
Mailing Address
LYDIA MARIE GRAVES DMD
1537 APACHE WAY
CLARKSVILLE, TN 37042-8179
Phone number: 859-801-3448
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