Individual provider · Type 1 NPI
Elizabeth Marie Graham, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Wilmette, IL
Practice location
403 Linden Ave
Wilmette, IL 60091-2844
Fax (847) 256-3904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 19-025239 (IL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1902955461
Elizabeth Marie Graham, DDS, M.S.'s National Provider Identifier is 1902955461, issued on Jan 10, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wilmette, IL. The record was last updated on Jul 8, 2007.