Provider Demographics
NPI:1255353116
Name:GRAFTON, RONALD EARL (DDS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:EARL
Last Name:GRAFTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 GREGORY LN
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3386
Mailing Address - Country:US
Mailing Address - Phone:925-687-6202
Mailing Address - Fax:925-687-6203
Practice Address - Street 1:81 GREGORY LN
Practice Address - Street 2:SUITE 110
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3386
Practice Address - Country:US
Practice Address - Phone:925-687-6202
Practice Address - Fax:925-687-6203
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29053122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist