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Organization
ORAL AND MAXILLOFACIAL SURGERY OF EAST AL
Active
Organization
ORAL AND MAXILLOFACIAL SURGERY OF EAST AL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GRADY DDS (PRESIDENT)
(334) 749-3436
Entity
Organization
Contact information
Practice address
121 N 20TH ST STE 20B, OPELIKA, AL 36801-5456
(334) 749-3436
(334) 749-3223
Mailing address
121 N 20TH ST STE 20B, OPELIKA, AL 36801-5456
(334) 749-3436
(334) 749-3223
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2956CS
AL
Other
Enumeration date
08/25/2006
Last updated
10/07/2016
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