Organization
GRADY DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN GRADY (OWNER DDS)
(678) 957-0770
Entity
Organization
Contact information
Practice address
10710 MEDLOCK BRIDGE RD STE 101, JOHNS CREEK, GA 30097-1998
(678) 957-0770
Mailing address
10710 MEDLOCK BRIDGE RD STE 101, JOHNS CREEK, GA 30097-1998
(678) 957-0770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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