Graham, Edithann Jennings
Graham, Edithann Jennings is an individual health care provider with primary practice located at 1806 Cable St , San Diego CA 92107-3103. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Graham, Edithann Jennings can be contacted via phone (619) 226-4784.Contact Information
Primary practice address
1806 Cable St
San Diego CA 92107-3103
Phone: (619) 226-4784
Fax: (619) 226-3027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 5253 | Arizona |
| Dental Providers / Periodontics | 1223P0300X | CA56651 | California |
Profile Details
| NPI number | 1063490639 |
|---|---|
| LBN Legal business name | Graham, Edithann Jennings |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 17th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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