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NPI Code Detail

MEDICARE: DANEA GRAVES DMD

MEDICARE: DANEA GRAVES DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist00204826CO

General Provider Information

NPI Number : 1285205617
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANEA GRAVES DMD
Provider Business Mailing Address
First Line : 3063 BRIGHTON BLVD UNIT 439
Second Line :
City : DENVER
State : CO
Zip : 80216-5272
Country : US
Telephone Number : 270-300-5463
Fax Number :
Provider Business Practice Location Address
First Line : 3705 E COLFAX AVE UNIT 101
Second Line :
City : DENVER
State : CO
Zip : 80206-1810
Country : US
Telephone Number : 303-399-3001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 07/07/2021

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Directions to “ DANEA GRAVES DMD” Practice Location

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