| 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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