Ann Marie Grady, D.d.s., Pc | |
1313 E Herndon Ave Ste 104 Fresno CA 93720-3306 | |
(559) 435-7993 | |
(559) 435-7935 |
Full Name | Ann Marie Grady, D.d.s., Pc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Pathology |
Location | 1313 E Herndon Ave Ste 104, Fresno, California |
Authorized Official Name and Position | Ann Marie Grady (OWNER) |
Authorized Official Contact | 5594357993 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ann Marie Grady, D.d.s., Pc 1313 E. Herndon Ave. #104 Fresno CA 93720 Ph: (559) 435-7993 | Ann Marie Grady, D.d.s., Pc 1313 E Herndon Ave Ste 104 Fresno CA 93720-3306 Ph: (559) 435-7993 |
NPI Number | 1063569929 |
---|---|
Provider Enumeration Date | 01/04/2007 |
Last Update Date | 11/29/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063569929 | NPI | - | NPPES |
53741 | Other | CA | DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 53741 (California) | Primary |
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