Provider Demographics
NPI:1194980870
Name:GRAFTON, AARON LAWRENCE (DDS)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:LAWRENCE
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 STE 110
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4911
Mailing Address - Country:US
Mailing Address - Phone:925-687-6202
Mailing Address - Fax:
Practice Address - Street 1:81 GREGORY LN STE 110
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4911
Practice Address - Country:US
Practice Address - Phone:925-687-6202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA572901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice