Provider Demographics
NPI:1700149002
Name:HOWARD L. GRAEF, D.D.S., P.C.
Entity Type:Organization
Organization Name:HOWARD L. GRAEF, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GRAEF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-589-2021
Mailing Address - Street 1:330 E 14 MILE RD STE A
Mailing Address - Street 2:
Mailing Address - City:CLAWSON
Mailing Address - State:MI
Mailing Address - Zip Code:48017-2118
Mailing Address - Country:US
Mailing Address - Phone:248-589-2021
Mailing Address - Fax:248-589-3390
Practice Address - Street 1:330 E 14 MILE RD STE A
Practice Address - Street 2:
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-2118
Practice Address - Country:US
Practice Address - Phone:248-589-2021
Practice Address - Fax:248-589-3390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty