Carl Stephen Graves, D.D.S. Valid NPI

Individual provider · Dentist · Fort Walton Beach, FL

NPI

1295188761

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DN21942 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2016-07-19

Last updated

2018-03-17