Most Relevant Information
Provider Data
| NPI Number: | 1003037789 |
| Provider Name: | ADRIANE KATHLEEN GRAHAM D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 44404 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
128 N LOCUST ST
INGLEWOOD
CA
903011811
Practice Location Phone/Fax
| Phone: | 3107426088 |
| Fax: | 3107426456 |
Provider Mailing Location
128 N LOCUST ST
INGLEWOOD
CA
903011811
Provider Mailing Phone/Fax
| Phone: | 3107426088 |
| Fax: | 3107426456 |