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Graham Busby, DDS Valid NPI

Individual provider · General Practice Dentistry · Edmond, OK

NPI
1396398384
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
7185 (OK)
Sex
Male
Sole proprietor
Yes
Enumerated
2019-07-19
Last updated
2019-07-19
Practice location
1222 S Kelly Ave
Edmond, OK 73003-5855
(405) 341-8518

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